Healthcare Audit Executive Axa Life Insurance Posted on October 9, 2019 3 - 4 years Dubai - United Arab Emirates Any Graduation. Any Nationality Send Me Jobs Like This SEND Alert Set Successfully Opening 01 Job Description EMAIL JOB SEND Email sent successfully. SHARE JOB *Job Purpose:• To be responsible for performing providers Audit Campaign, and identifying unfavorable trends in providers billing, maximize audit findings and recovery through providing solid audit ground.Main Responsibilities:You will:• Identify the unfavorable trends in medical practice of the providers;• Communicate identified issues and recommendation for improvement with the FWA Process manager;• Ensure compliance with legal and regulatory claims management, liaising with compliance and legal to ensure the fulfillment of regulatory requirements;• Liaise with other FWA Unit to develop Audit campaign on targeted providers improve and develop Audit criteria to expand the current audit activities;• Support FWA analyst through clinical validation of the analysis;• Report audit findings in a constructive approach to ensure best outcomes from the performed campaign;• Identify areas of Gaps caused by current processes, report it for better controlled processed;• Onsite File review for cases reported by the Medical Board team of possible document manipulation/ fraud; Company Industry Insurance Department/Functional Area Accounts / Taxation / Audit / Company Secretary Desired Candidate Profile *Minimum Requirements:• Proficient Knowledge of the Country s healthcare Insurance market;• Proficient Knowledge of GCC countries healthcare providers trends and behaviors;• Proficient Knowledge of the various GCC countries legislations and regulations;• Sound Medical Knowledge and claims adjudication;• Coding certification;• Preferably Audit certification;• Completed Bachelor Degree in Paramedical Courses like Nursing, Physical Therapy, Pharmacy, Medicine and Medical Technology.• At least 3 years experience in a similar role in Healthcare Audit with coding experience. Keywords Healthcare Audit Executive REPORT THIS JOB Disclaimer: Naukrigulf.com is only a platform to bring jobseekers & employers together. Applicants are advised to research the bonafides of the prospective employer independently. We do NOT endorse any requests for money payments and strictly advice against sharing personal or bank related information.We also recommend you visit Security Advice for more information. If you suspect any fraud or malpractice, email us at email@example.com People Looking for Audit Executive Jobs also searched Dubai UAE All Jobs Audit Executive Jobs in Dubai Accounts Executive Jobs in Dubai Accountant Jobs in Dubai Medical Jobs in Dubai Claims Adjudication Jobs in Dubai Physical Therapy Jobs in Dubai Claims Management Jobs in Dubai Audit Executive Jobs in UAE Accounts Executive Jobs in UAE Accountant Jobs in UAE Medical Jobs in UAE Claims Adjudication Jobs in UAE Physical Therapy Jobs in UAE Claims Management Jobs in UAE Audit Executive Jobs Accounts Executive Jobs Accountant Jobs Medical Jobs Claims Adjudication Jobs Physical Therapy Jobs Claims Management Jobs Axa Life Insurance View Contact Details Contact Name/ Designation: - Website https://jobs.axa/careersection/axa_uae/jobdetail.ftl?job=320876&lang=en Additional Information Required Employer has requested some additional information along with your application for this job Cancel Login to Naukrigulf Continue using GOOGLE FACEBOOK All your activity will remain private or Forgot Password?