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Approval Officer at NMC Medical Centre

Abu Dhabi, Abu Dhabi Emirate, United Arab Emirates -

Full Time

Start Date

Immediate

Expiry Date

10 Aug, 26

Salary

0.0

Posted On

12 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Knowledge, Insurance Practices, Pre Approval Requests, Claim Adjudication, Report Preparation, Insurance Claims Management, Medical Coding, ICD, CPT, DRG, HCPCS, English Proficiency, Microsoft Office, Flexibility, Pressure Management

Industry

Hospitals and Health Care

Description

2.1 Apply medical knowledge and best insurance practice while reviewing and verifying the Pre Approval requests (OP/ IP) received from different departments to obtain authorizations as required by insurance companies dependent upon the plan coverage for all Insurance patients. Ensure that the details of the Pre Authorization Requests are in line with the regulators’ standards especially the claim adjudication Rules and Business Rules. 2.2 Handling the rejected pre authorization and get required justification from the treating doctor to resend it to Insurance Company and obtain the approval. 2.3 Prepares reports of daily activity as requested for management and assists management in month end reporting as requested.

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Responsibilities

The Approval Officer applies medical knowledge and insurance practices to review and verify pre-approval requests for insurance patients. They handle rejected requests by obtaining justifications from treating doctors and preparing reports for management.