Approval Officer

7 months ago


Sharjah, United Arab Emirates NMC Healthcare Full time

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 noncoverage.
- 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.
- 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 noncoverage.
- 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.
- CPC / AAPC certification
- Any bachelor's degree


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