NMC Healthcare
Approval Officer
š¦šŖ Dubai, UAEš¢ On-site
InsurancePre-authorizationClaims Adjudication
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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 regulatorsā standards especially the claim adjudication Rules and Business Rules.
Requirements
- ā¢Handle rejected pre-authorization requests
- ā¢Obtain required justification from treating doctors
- ā¢Resubmit requests to insurance companies for approval
- ā¢Ensure Pre-Authorization Requests details align with regulators' standards
- ā¢Comply with claim adjudication Rules and Business Rules
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