NMC Healthcare
Approval Officer
🇦🇪 Dubai, UAE🏢 On-site
InsurancePre-AuthorizationClaims AdjudicationHealthcare Administration
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-authorization requests
- •Knowledge of regulators’ standards
- •Understanding of claim adjudication Rules
- •Knowledge of Business Rules
Responsibilities
- •Obtain required justifications from treating doctors for rejected pre-authorizations
- •Resubmit requests to Insurance Companies to obtain approvals
- •Ensure pre-authorization details align with regulatory standards
- •Monitor compliance with claim adjudication and business rules
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Stop — Check First
- Check your resume before NMC Healthcare rejects it
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60 seconds. $5.88 one-time.
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.