Approval Officer
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• Evaluate the pre-authorization requests from medical necessity for the requested service according to the medical data provided and accurately code the service description codes stated on the prior authorization requests, according to accepted medical coding rules, medical guidelines and policy’s schedule of benefits
• Response to Insurance/ TPA queries and liaise with concerned department.
• Responsible for receiving, evaluating and escalating second opinion cases and case management.
• Perform night shift duty to sustain any issues and queries related to Authorization department.
• Prepares reports of daily activity as requested for management and assists management in monthly reports as requested.
Requirements
- •Evaluate pre-authorization requests
- •Code services accurately
- •Respond to insurance queries
- •Manage second opinion cases
- •Perform night shift duty
- •Prepare daily/monthly reports
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- Check if NMC Healthcare will actually see your resume
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60 seconds. $3.99 one-time.
NMC Health is one of the largest private healthcare providers in the UAE. It operates hospitals, day surgery centers, and clinics across the country.
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