Specialist - Authorization (Tawam Fertility Center)
At a Glance
- Category
- 🏥 Healthcare
- Level
- Mid-Level
- Type
- Full-time
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The Specialist-Authorization is responsible for initiating a Pre-Authorization request to the payer for the claims that require approval. This position requires communication with payers, patients, physician offices, and hospital clinical staff. This position is primarily responsible for pre-certifying procedures ordered by physicians. The Specialist-Authorization will also be responsible for monitoring appropriateness and medical necessity, and providing necessary information for authorization and continued visits. This individual will confirm pre-certifications that have been obtained or will obtain pre-certifications if needed.
Responsibilities
- •Initiate Pre-Authorization requests to payers for claims requiring approval
- •Communicate with payers, patients, physician offices, and hospital clinical staff
- •Pre-certify procedures ordered by physicians
- •Monitor appropriateness and medical necessity of procedures
- •Provide necessary information for authorization and continued visits
- •Confirm obtained pre-certifications or obtain new ones as needed
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- See if your CV format works for SEHA
- Get AI-rewritten bullet points
- Download Gulf-ready CV
60 seconds. $5.88 one-time.
SEHA is the Abu Dhabi National Health Insurance Company, responsible for public healthcare services in the Emirate. It manages a network of hospitals and clinics.