Paid
60 hour
Course Description
Course Description
Al Mithaq Institute
Medical Insurance & Health MGMT
Gain professional expertise in healthcare administration and insurance systems. Master claims cycles, international coding, and operational excellence for modern health centers.
Language Arabic / English
Format Online / In-person
Certification 2 Certificates + Membership
Program Excellence
Insurance Mastery
Understand the complex relationship between providers and insurers, ensuring contract compliance and service continuity.
Technical Proficiency
Master international medical classifications (ICD & CPT) and utilize advanced e-Claim software for precise reporting.
Operational Quality
Learn to organize medical staff, manage patient flow, and implement health quality standards approved by regulatory authorities.
Learning Objectives
System Foundations
Learn types of insurance, contracting parties, and the mechanics of medical insurance systems.
Claims Management
Develop skills to deal with insurers, review documents, and submit accurate, justified claims.
Facility Operations
Manage daily health center operations, patient scheduling, and medical staff coordination with high efficiency.
Cost & Waste Control
Learn to monitor expenses, audit unjustified claims, and minimize financial leakage in health centers.
Quality & Experience
Apply evaluation criteria to enhance patient satisfaction and the overall quality of healthcare delivery.
Legal Compliance
Maintain data privacy and adhere to the regulations set by the Ministry of Health and regulatory bodies.
Curriculum Structure
01
Intro to Health Insurance
Medical insurance concepts, coverage types (Basic/Comprehensive), and key stakeholders.
02
Claims Documentation
Reading insurance policies and distinguishing between direct and compensatory claims.
03
Claims Cycle Management
Data collection, service documentation, submission to insurers, and follow-up procedures.
04
Medical Coding
Training on ICD and CPT coding standards for precise medical reporting.
05
Health Center Operations
Scheduling, appointment management, and organizing workflows between medical and admin teams.
06
Quality & Accreditation
Health ministry standards for center accreditation and periodic performance evaluations.
07
Insurer Relations
Negotiating contracts, price lists, and reviewing rights and obligations for all parties.
08
Digital Health Systems
Utilizing e-Claim software and archiving digital medical records securely.
Target Audience
Healthcare Administrators
Managers seeking to enhance their knowledge of insurance and center operations.
Insurance Coordinators
Staff in medical facilities responsible for claims and relationship management with insurers.
Medical Coders
Professionals looking to master ICD and CPT codes for accurate billing and reporting.
Graduates & Career Changers
Individuals aiming to enter the growing healthcare administration and insurance sector.
Register Now
Obtain two Certificates and an Internationally Accredited Membership.
CONTACT US
+971 56 808 0073
Dubai, Riggat Al Buteen, Damas Tower, Office 102
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