NMC Healthcare presently has a job opening for suitably qualified a candidate for position of a Approval Officer in Sama Tower, Abu Dhabi, AE. This is an Intermediate level full time role. For this position salary ranges from 6000-13000 AED, which may be slightly negotiable during the interview process.

Responsibilities of Approval Officer

• Evaluate the Pre Approval requests from medical necessity for the requested service according to the medical data provided and accurately code the service description codes stated on the prior authorization requests, according to accepted medical coding rules, medical guidelines and policy’s schedule of benefits.
• Response to Insurance/ TPA queries and liaise with concerned department.
• Responsible for receiving, evaluating and escalating second opinion cases and case management.
• Perform night shift duty to sustain any issues and queries related to Authorization department.
• Prepares reports of daily activity as requested for management and assists management in monthly reports as requested.

Requirements for Role of Approval Officer

• Bachelor Degree in Medicane (MBBS) graduate from a recognized university.
• 2 years experience in Insurance Claims management/adjudication (minimum 2 years)
• Experience in Medical Coding ICD, CPT, DRG and HCPCS.

Skills And Knowledge Desired

• Excellent command of oral and written English.
• Flexible and able to work under pressure.
• Excellent knowledge of Microsoft applications.

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