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.

Required Skills:

Insurance Reconciliation & Analysis

Employment Type : Full Time
Experience: years
Vacancy: 1