NMC Healthcare (NMC Sunny Medical Centre Sharjah) presently has a job opening for eligible candidates for the position of an Approval Officer in Sharjah, UAE. Established in 1974, NMC Healthcare is the most trusted and largest private healthcare company in UAE. NMC plays an integral part in supporting the UAE’s healthcare system & its continuous growth and progress. With a dedicated team of doctors, nurses, allied health and support personnel, NMC owns numerous Healthcare facilities in the UAE. The company has specialized verticals that include Multi Specialty Care, Maternity and Fertility, Long Term and Home Care, Medical Centers, Day Surgery Centers, Operations and Management.
Job Purpose of An Approval Officer
Ensures that patient treatment plans and services comply with insurance or regulatory requirements, facilitating seamless approvals and reimbursement processes.
Your Job Duties As An Approval Officer
- 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 doctors indications responsibilities.
- Notifies branch management of concerns with payer coverage or other service non coverage.
- 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 doctors, nursing staff and other staff to follow the correct ICD, CDT and CPT codes to avoid the rejection.
Who Can Apply?
Qualification
- Any bachelor’s degree.
Certification
- CPC / AAPC certification.
Experience
- 1-2 years of experience in a similar role
