NMC Healthcare
Approval Officer
🇦🇪 UAE, UAE🏢 On-site
InsurancePre-authorizationClaim AdjudicationHealthcareRegulatory Compliance
At a Glance
- Category
- 🏥 Healthcare
- Level
- Mid-Level
- Type
- Full-time
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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.
Requirements
- •Ability to handle rejected pre-authorizations
- •Knowledge of claim adjudication rules
- •Understanding of business rules and regulatory standards
Responsibilities
- •Obtain required justifications from treating doctors for rejected pre-authorizations
- •Resubmit pre-authorizations to insurance companies to obtain approval
- •Ensure pre-authorization request details align with regulatory standards
- •Monitor compliance with claim adjudication and business rules
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Check Your CV
- See if your CV layout works for NMC Healthcare
- Get every weak line rewritten
- Download a CV written for the Gulf
Free check in 60 seconds. Fixes $5.88 one-time, only if you want them.
GCC Info
Company
NMC Healthcare
5000+ employees
NMC Health is one of the largest private healthcare providers in the UAE. It operates hospitals, day surgery centers, and clinics across the country.