We check careers pages twice a day
- Type
- Full-time
- Setup
- On-site
- Posted
- yesterday
Never pay for a job or a visa. In the UAE the employer covers recruitment costs. Asked for money? Report this job below.
At a glance
The main points of the job ad, in the employer’s own words.
The job
- Verifies customers' insurance eligibility and authorization in a timely and accurate manner
- Communicates payer authorization and eligibility information
- Sends payer informational correspondence
They ask for
- College Diploma - Any discipline or related fields
- Proficiency in medical coding standards: ICD, CPT, DRG, HCPCS
What the ad says
Picked out automatically from the job ad, so it can be wrong. Read the full ad and confirm with the employer before you accept an offer or travel.
Not mentioned in the ad: visa, applying from abroad, accommodation, transport, experience, Arabic, UAE driving licence. Ask the employer.
About the role
Read the full job adHide the full job ad1 min read
Handling the rejected pre-authorization and get required justification from the treating doctor to resend it to Insurance Company and obtain the approval.
Ensure that the details of the Pre-Authorization Requests are in line with the regulators’ standards especially the claim adjudication Rules and Business Rules.
Responsibilities
Verifies customers' insurance eligibility and authorization in a timely and accurate manner
Communicates payer authorization and eligibility information.
Sends payer informational correspondence.
Complete service and procedure authorizations and referrals
Review the patient's medical history and insurance coverage for approval.
If necessary, contact referral physicians for more information.
Once approval is obtained, the concerned staff and treating physicians should be notified.
Enter new patient information and update data in our system.
As needed, assist with other clerical responsibilities.
Notifies branch management of concerns with payer coverage or other service noncoverage.
Keep track of the daily production report.
Keep the pending approval monitoring system updated for the next day's follow-up.
The supervisor and team leader will monitor the schedules and emergency requirements and all the quires from the facility.
Guide the doctors and concerned staff to follow the correct ICD, CDT and CPT codes to avoid the rejection
Qualifications
College Diploma - Any discipline or related fields.
Proficiency in medical coding standards: ICD, CPT, DRG, HCPCS
Experience in insurance claims management or pre-authorization (approval) processes, typically 2+ years
Skills mentioned
- Medical Coding & Billing
- Team Management
Detected automatically from the description.
Source: NMC Healthcare careers page
Ask Saqr: does my CV fit this job?No CV yet? Make a UAE-ready CV free on CV Wasl before you apply.CV Wasl is our free CV maker. It keeps a copy of your CV to improve its AI. Read its terms.