Authorisation officer

2 months ago


Abu Dhabi, United Arab Emirates Daman - National Health Insurance Company Full time
  • Assist Supervisor in ensuring thatnew guidelines, service/drug coding, updated policies andprocedures that are related to duties of the coordinator are beingproperly implemented
  • Evaluate medical necessityof requested services according to medical data provided andaccurately code service descriptions/drug codes stated on priorauthorisation requests based on accepted medical codingrules/guidelines and policy’s schedule ofbenefits
  • Ensure that proper documentation ofthe data including business decisions are correctly done on thesystem with focus on accuracy, efficiency andquality
  • Constantly work on improving the TATand relevant functional and personalcompetencies
  • Handle authorisation relatedissues/queries of health care providers or customers and providingthem with appropriate assistance andguidance
  • Assist Supervisor in training newstaff as per their function
  • Report suspectedcases of fraud/abuse by healthcare providers to respectiveSupervisor
  • Evaluate and sign high costauthorisation letters from Medical Authorisation Coordinator as perhis authority
  • Initiate the resolving of complexsituations and issues at the coordinator level and take measures toavoid the reoccurrence of similarincidents
  • Handle changes in the workload flowfrom healthcare providers in terms of time, quantity and type ofprior authorisation requests received with clear focus on qualityand set target
  • Escalate cases needing CaseManagement intervention based on communicatedcriteria
  • Perform shift duty to ensure 24/7operations of the department

  • Authorisation officer

    2 months ago


    Abu Dhabi, United Arab Emirates Daman - National Health Insurance Company Full time

    Assist Supervisor in ensuring that new guidelines, service/drug coding, updated policies and procedures that are related to duties of the coordinator are being properly implementedEvaluate medical necessity of requested services according to medical data provided and accurately code service descriptions/drug codes stated on prior authorisation requests based...

  • Authorisation officer

    4 weeks ago


    Abu Dhabi, United Arab Emirates Daman - National Health Insurance Company Full time

    Assist Supervisor in ensuring that new guidelines, service/drug coding, updated policies and procedures that are related to duties of the coordinator are being properly implementedEvaluate medical necessity of requested services according to medical data provided and accurately code service descriptions/drug codes stated on prior authorisation requests based...


  • Abu Dhabi, Abu Dhabi, United Arab Emirates Daman Full time

    IP Authorisation officer -G6Role Purpose Assist Supervisor in ensuring that new guidelines, service/drug coding, updated policies and procedures that are related to duties of the coordinator are being properly implemented Evaluate medical necessity of requested services according to medical data provided and accurately code service descriptions/drug codes...


  • Abu Dhabi, United Arab Emirates Daman Full time

    IP Authorisation officer -G6 **Role Purpose** - Assist Supervisor in ensuring that new guidelines, service/drug coding, updated policies and procedures that are related to duties of the coordinator are being properly implemented - Evaluate medical necessity of requested services according to medical data provided and accurately code service...


  • Abu Dhabi, Abu Dhabi, United Arab Emirates Abu Dhabi Global Market Full time

    Manager – Authorisation Jobs In Abu Dhabi | Abu Dhabi Global MarketApply Also Accountant Jobs In Sharjah | dentsuThe Authorisation Division is responsible for considering applications to conduct financial services in and from ADGM. The Division authorises both firms and individuals, influences policy developments in the areas for which is it responsible,...


  • abu dhabi, United Arab Emirates Abu Dhabi Global Market Full time

    Manager – Authorisation Jobs In Abu Dhabi | Abu Dhabi Global MarketApply Also Accountant Jobs In Sharjah | dentsuThe Authorisation Division is responsible for considering applications to conduct financial services in and from ADGM. The Division authorises both firms and individuals, influences policy developments in the areas for which is it responsible,...


  • abu dhabi, United Arab Emirates Abu Dhabi Global Market Full time

    Manager – Authorisation Jobs In Abu Dhabi | Abu Dhabi Global MarketApply Also Accountant Jobs In Sharjah | dentsuThe Authorisation Division is responsible for considering applications to conduct financial services in and from ADGM. The Division authorises both firms and individuals, influences policy developments in the areas for which is it responsible,...

  • Senior Officer

    2 weeks ago


    Abu Dhabi, Abu Dhabi, United Arab Emirates Daman - National Health Insurance Company Full time

    Senior Officer | Daman – National Health Insurance Company Abu DhabiThe National Health Insurance Company – Daman is the region's leading specialised health insurer, providing comprehensive health insurance solutions to more than three million members in the UAE.Senior Officer | Daman – National Health Insurance Company Abu Dhabi | Apply NowMinimum 4...


  • abu dhabi, United Arab Emirates Daman - National Health Insurance Company Full time

    Senior Officer | Daman – National Health Insurance Company Abu DhabiThe National Health Insurance Company – Daman is the region’s leading specialised health insurer, providing comprehensive health insurance solutions to more than three million members in the UAE.Senior Officer | Daman – National Health Insurance Company Abu Dhabi | Apply NowMinimum 4...


  • abu dhabi, United Arab Emirates Daman - National Health Insurance Company Full time

    Senior Officer | Daman – National Health Insurance Company Abu DhabiThe National Health Insurance Company – Daman is the region’s leading specialised health insurer, providing comprehensive health insurance solutions to more than three million members in the UAE.Senior Officer | Daman – National Health Insurance Company Abu Dhabi | Apply NowMinimum 4...


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  • Duty Manager

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    Abu Dhabi, United Arab Emirates Ramada Hotel Abu Dhabi Corniche Full time

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