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Emirati Pre-Approval Officer, HealthHub, Dubai Festival City

Al Futtaim Private Company (LLC)
Dubai, UAE
Senior
2 weeks ago
Prior Authorization OfficerPatient EligibilityPre-authorizationBenefits Verification SpecialistPre-Certification OfficerCustomer Service
Free

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Prior Authorization OfficerPatient EligibilityPre-authorization
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Overview

This role is exclusively for UAE Nationals as part of our continued commitment to Emiratisation and developing local talent within healthcare operations.

As a Pre‑Approval Officer, you will play a critical role in ensuring timely and accurate insurance pre‑approvals across inpatient, outpatient, and pharmacy services.

Your work directly supports smooth patient journeys, access to care, and the financial sustainability of healthcare services across the UAE.

Why this opportunity is ideal for Emiratis

Make a meaningful impact by enabling patients and families to access care without delay.

Be part of an organisation recognised for its strong Emiratisation record and long‑term investment in UAE talent.

Work in a role where accuracy, ownership, and collaboration directly influence patient experience and operational success.

Join a professional RCM environment with structured processes, training, and growth opportunities.

Key Responsibilities

Review and process assigned insurance pre‑approval requests to ensure completeness and accuracy.

Update approvals received from insurers with 100 percent accuracy in internal systems.

Coordinate with clinical and administrative teams to obtain missing documentation and clarifications.

Meet daily productivity, turnaround time, and quality targets for claims verification and submissions.

Perform quantitative and qualitative reviews of medical records to ensure compliance with coding guidelines, DHA requirements, and payer policies.

Submit pre‑approvals in line with KPIs to improve first‑round approval rates and reduce rework.

Monitor coordination with stakeholders to prevent revenue loss and minimise insurance rejections.

Analyse denial trends, implement corrective actions, and escalate rejected or delayed approvals when required.

Maintain accurate records and reports related to approvals, denials, and follow‑ups.

Support and educate billing, approval, and clinical documentation teams to improve workflows and compliance.

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