Insurance Preaproval Officer

2 months ago


AlAyn, United Arab Emirates Trust Vision Group of Healthcare Full time

**Primary Responsibilities**:

- Preapproval and Precertification for claims requiring approval.
- Making Cost estimates according to procedures
- Monitoring and follow up on prior authorization for inpatient services
- Scanning of cases to identify lack of documentation by physician/ reports prior to submitting to payer
- Contacting the payers/TPA for approval related matters. Communicates adequately with external parties.
- Contacting the physician/nurses for further clarification to make the claim eligible for preapproval.
- Inform and influence others by clear, concise expression of ideas and information in verbal and written as appropriate
- Timely and meets deadlines.
- Reporting trends related to preapproval to reporting TL /Supervisor

**Job Requirements**:

- Medical Background - Nursing /BAMS/BHMS/MBBS/BDS preferred.
- Medical Coding knowledge preferred. Certification will be added advantage
- Junior Level post,
- Medical Billing Knowledge with certification will be as well an added advantage.
- Proficient in the software modules. (Microsoft Word and Excel)
- Strong background of various insurance pre-authorization protocols and portals

Ability to commute/relocate:

- Al-Ayn: Reliably commute or planning to relocate before starting work (required)


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