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Senior Authorization Officer at Mafraq Hospital

Abu Dhabi, Abu Dhabi Emirate, United Arab Emirates -

Full Time

Start Date

Immediate

Expiry Date

11 Mar, 26

Salary

0.0

Posted On

11 Dec, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Pre-Authorization, Communication, Medical Necessity, Patient Interaction, Payer Interaction, Physician Coordination, Clinical Staff Collaboration, Monitoring Appropriateness, Information Provision, Pre-Certification, Claims Approval

Industry

Hospitals and Health Care

Description

The PAVE Representative is responsible for initiating a Pre-Authorization request to the payer for the claims that require approval. This position requires communication with payers, patients, physician offices, and hospital clinical staff. This position is primarily responsible for pre-certifying procedures ordered by physicians. The PAVE Representative will also be responsible for monitoring appropriateness and medical necessity, and providing necessary information for authorization and continued visits. This individual will confirm pre-certifications that have been obtained or will obtain pre-certifications if needed.

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Responsibilities

The PAVE Representative is responsible for initiating Pre-Authorization requests for claims requiring approval and confirming pre-certifications. This role involves communication with various stakeholders including payers, patients, and clinical staff.