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 implemented
  • Evaluate medical necessity of requested services according to medical data provided and accurately code service descriptions/drug codes stated on prior authorisation requests based on accepted medical coding rules/guidelines and policy’s schedule of benefits
  • Ensure that proper documentation of the data including business decisions are correctly done on the system with focus on accuracy, efficiency and quality
  • Constantly work on improving the TAT and relevant functional and personal competencies
  • Handle authorisation related issues/queries of health care providers or customers and providing them with appropriate assistance and guidance
  • Assist Supervisor in training new staff as per their function
  • Report suspected cases of fraud/abuse by healthcare providers to respective Supervisor
  • Evaluate and sign high cost authorisation letters from Medical Authorisation Coordinator as per his authority
  • Initiate the resolving of complex situations and issues at the coordinator level and take measures to avoid the reoccurrence of similar incidents
  • Handle changes in the workload flow from healthcare providers in terms of time, quantity and type of prior authorisation requests received with clear focus on quality and set target
  • Escalate cases needing Case Management intervention based on communicated criteria
  • Perform shift duty to ensure 24/7 operations of the department


  • 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...

  • 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 implementedEvaluate medical necessityof requested services according to medical data provided andaccurately code service descriptions/drug codes stated on priorauthorisation requests based on...

  • Authorisation officer

    3 weeks 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 implementedEvaluate medical necessityof requested services according to medical data provided andaccurately code service descriptions/drug codes stated on priorauthorisation requests based on...


  • 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, 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

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  • 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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  • Abu Dhabi, United Arab Emirates Fifasoft Middle East Full time

    Major Duties and Responsibilities:• Develop, implement, and revise strategic processes based on company business plans.• Direct and guide the preparation of short-term and long-range plans aligned with program goals.• Oversee and review all supply functions to ensure alignment with department objectives.• Ensure compliance with ISO 9001 Quality...


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    Major Duties and Responsibilities: Develop, implement, and revise strategic processes based on company business plans. Direct and guide the preparation of short-term and long-range plans aligned with program goals. Oversee and review all supply functions to ensure alignment with department objectives. Ensure compliance with ISO 9001 Quality Management...


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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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