Doctor – Insurance Reconciliation & Analysis

Hiring Doctor – Insurance Reconciliation & Analysis in Qatar

Job Description & Responsibilities:

• Review, audit, and reconcile medical insurance claims against clinical documentation.
• Ensure accuracy between services rendered, billed amounts, and insurance approvals.
• Identify discrepancies, denials, and underpayments, and take corrective action.
• Liaise with insurance companies for approvals, resubmissions, and clarifications.
• Ensure compliance with insurance policies, coding standards (ICD/CPT), and billing guidelines.
• Analyze trends in claim rejections and recommend improvements.
• Work closely with billing, coding, and clinical teams to optimize revenue cycle management.
• Prepare periodic reports on claims performance, rejection rates, and financial impact.
• Support internal audits and regulatory compliance processes.

Requirements & Eligibility (Qatar):

• MBBS or equivalent medical degree.
• Experience in insurance, medical auditing, or revenue cycle management preferred.
• Knowledge of ICD-10, CPT coding, and insurance protocols is highly desirable.
• Eligible for DHP/MOPH license (preferred).
• Strong analytical and communication skills.

. Skillset Required: Insurance Reconciliation & Analysis