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oracle

Approval Officer

NMC
Dubai, UAE
Full-time
Mid · 2+ years experience
Onsite
Discovered 4 days ago

Full Job Posting

Responsibilities

  • Verifies customers' insurance eligibility and authorization in a timely and accurate manner
  • Communicates payer authorization and eligibility information.
  • Sends payer informational correspondence.
  • Complete service and procedure authorizations and referrals
  • Review the patient's medical history and insurance coverage for approval.
  • If necessary, contact referral physicians for more information.
  • Once approval is obtained, the concerned staff and treating physicians should be notified.
  • Enter new patient information and update data in our system.
  • As needed, assist with other clerical responsibilities.
  • Notifies branch management of concerns with payer coverage or other service noncoverage.
  • Keep track of the daily production report.
  • Keep the pending approval monitoring system updated for the next day's follow-up.
  • The supervisor and team leader will monitor the schedules and emergency requirements and all the quires from the facility.
  • Guide the doctors and concerned staff to follow the correct ICD, CDT and CPT codes to avoid the rejection

Qualifications

  • College Diploma - Any discipline or related fields.
  • Proficiency in medical coding standards: ICD, CPT, DRG, HCPCS
  • Experience in insurance claims management or pre-authorization (approval) processes, typically 2+ years

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