Authorization Specialist
4 weeks ago
OVERVIEW: The Authorization Specialist plays a crucial role in securing prior approvals for all medical procedures by efficiently navigating the authorization process with various commercial insurers, ensuring compliance with established turnaround times to uphold team performance metrics.
KEY RESPONSIBILITIES:
- Evaluate medical approval requests and adherence to policy guidelines.
- Verify the necessity of treatment plans for patients.
- Regularly document both verbal and written claims approvals.
- Make decisions on approvals based on policy stipulations.
- Assess high-cost claims and render decisions on complex cases.
- Provide clear and concise feedback to inquiries from the call center team.
- Assist clients in understanding any denied medical claims.
- Coordinate workflow to meet established deadlines.
- Review claims for eligibility criteria.
- Achieve daily productivity targets for Precertification based on claim types and tenure.
- Process Outpatient Precertification on a first-in-first-out basis.
- Maintain a productivity turnaround time of 85% within 10 minutes and 98% within the first hour, including urgent and VIP cases.
- Adhere to a 100% schedule and punctuality requirement.
- Exercise decision-making authority.
- Effectively evaluate high-cost claims to meet daily team targets, granting approvals in accordance with guidelines and policy terms, while considering market practices, with significant accountability for invalid rejections and customer satisfaction.
- Support the training of new team members and provide constructive feedback.
- Keep the workflow guidelines updated.
QUALIFICATIONS:
- Bachelor's degree in Pharmacy.
- A minimum of 4 years of practical medical experience, preferably with a reputable insurance provider, broker, or TPA.
- Proficiency in MS Office Suite (Excel, Word, Outlook, PowerPoint) and strong internet navigation and research skills.
-
Medical Authorization Specialist
4 weeks ago
Dubai, Dubai, United Arab Emirates Jobs via eFinancialCareers · Full timeOVERVIEW: The Medical Authorization Specialist plays a crucial role in securing prior approvals for various medical procedures by efficiently navigating the authorization process with diverse commercial insurers, ensuring adherence to established turnaround times to uphold team performance metrics.KEY RESPONSIBILITIES:Evaluate the necessity of medical...
-
Healthcare Authorization Specialist
4 weeks ago
Dubai, Dubai, United Arab Emirates Insight Global Full timePosition OverviewInsight Global is seeking a dedicated Utilization Management Coordinator to join a prominent health services organization. In this role, you will be tasked with managing the evaluation of medical treatment requests, ensuring compliance with internal policies, regulatory standards, and client agreements.Your responsibilities will...
-
Dubai, Dubai, United Arab Emirates Duncan & Ross Consulting Full timeJob SummaryDuncan & Ross Consulting is seeking an experienced Architectural Design Authority Submission Specialist to join our team. As a key member of our design team, you will be responsible for developing and submitting architectural designs for various projects.Key ResponsibilitiesDesign Development: Develop and refine architectural designs from concept...
-
Technical Author
1 week ago
Dubai, Dubai, United Arab Emirates Expats Direct Limited Full timeTechnical Author - Onshore Operations / United Arab Emirates**Job Summary**We are seeking a skilled Technical Author to join our team at Expats Direct Limited. As a Technical Author, you will be responsible for creating high-quality technical documents that support our onshore operations.**Key Responsibilities**Develop and maintain technical documentation...
-
Pediatric Specialist
1 week ago
Dubai, Dubai, United Arab Emirates Al-Futtaim Full timeJob SummaryWe are seeking a highly skilled and experienced Pediatric Specialist to join our team at Al-Futtaim Health. As a Specialist Pediatrician, you will be responsible for providing comprehensive and high-quality care to infants, children, and adolescents.Key ResponsibilitiesProvide Comprehensive Care: Conduct thorough assessments, diagnose, and treat a...
-
Pediatric Specialist
6 days ago
Dubai, Dubai, United Arab Emirates Al-Futtaim Full timeJob SummaryWe are seeking a highly skilled and experienced Pediatric Specialist to join our team at Al-Futtaim Health. As a Specialist Pediatrician, you will be responsible for providing comprehensive and specialist-level patient care to children and infants.Key ResponsibilitiesProvide Comprehensive Patient Care: Conduct thorough assessments, diagnose, and...
-
Security Operations Specialist
2 weeks ago
Dubai, Dubai, United Arab Emirates Trans Skills Group Full timeJob SummaryWe are seeking a highly skilled and experienced Security Operations Specialist to join our team at Trans Skills Group. As a Security Operations Specialist, you will be responsible for ensuring the security and safety of our sensitive sites, responding to incidents, and collaborating with security authorities.Key ResponsibilitiesConduct security...
-
Energy Efficiency Specialist
1 week ago
Dubai, Dubai, United Arab Emirates Farnek Full timeJob Summary:Farnek is seeking a highly skilled Energy Engineer to join our team in Dubai, United Arab Emirates. As an Energy Engineer, you will play a crucial role in ensuring the energy-efficient operation of our buildings.Key Responsibilities:Energy Efficiency Analysis: Conduct thorough energy usage analysis of our buildings to identify areas of...
-
Technical Author
1 week ago
Dubai, Dubai, United Arab Emirates Oil and Gas Job Search Ltd Full timeJob SummaryWe are seeking a highly skilled Technical Author to join our Onshore Operations team at Oil and Gas Job Search Ltd. The successful candidate will be responsible for providing technical support and guidance to users experiencing issues with computer hardware, software, and peripherals.Key ResponsibilitiesTechnical Support: Provide assistance to...
-
Corporate Governance Specialist
6 days ago
Dubai, Dubai, United Arab Emirates Intuit Management Consultancy Full timeJob Description**Job Title:** Corporate Governance Specialist**Job Summary:** We are seeking a highly skilled Corporate Governance Specialist to join our team at Intuit Management Consultancy. The successful candidate will be responsible for administering a portfolio of companies, setting up and maintaining online compliance mechanisms, and providing...
-
Technical Support Specialist
1 week ago
Dubai, Dubai, United Arab Emirates ProgressSoft Full timeJob Title: Technical Support SpecialistWe are seeking a highly skilled Technical Support Specialist to join our team at ProgressSoft. As a Technical Support Specialist, you will be responsible for providing high-level technical support and implementation services to our clients. Your primary focus will be on ensuring the smooth operation of our enterprise...
-
Medical Coder Specialist
1 week ago
Dubai, Dubai, United Arab Emirates Prime Healthcare Group Full timeJob SummaryWe are seeking a highly skilled Medical Coder Specialist to join our team at Prime Healthcare Group. As a key member of our healthcare team, you will be responsible for ensuring accurate and compliant clinical documentation.Key ResponsibilitiesCoordinate with Physicians to ensure accurate clinical documentation, minimizing insurance rejections and...
-
Warehouse Inventory Specialist
4 weeks ago
Dubai, Dubai, United Arab Emirates Edge by Rotana Full timePosition OverviewAs a Warehouse Inventory Specialist, you will play a crucial role in managing the flow of stock within our storerooms, ensuring that all items are prepared and issued in a timely manner.Key ResponsibilitiesCollaborate daily with the Head Storekeeper to review all authorized storeroom requisitions for efficient preparation and distribution of...
-
Financial Operations Specialist
4 weeks ago
Dubai, Dubai, United Arab Emirates Cartier Full timePosition OverviewAs a Financial Operations Specialist, you will play a crucial role in ensuring the integrity and efficiency of our financial processes. Your responsibilities will include:Ensuring Compliance: Guarantee the application and reliability of all financial procedures.Desk Management: Execute all opening and closing desk procedures...
-
Paralegal Specialist
1 week ago
Dubai, Dubai, United Arab Emirates CHALHOUB Group Full timeJob SummaryWe are seeking a highly skilled Paralegal Specialist to join our team at CHALHOUB Group. As a Paralegal Specialist, you will play a critical role in supporting our legal team by conducting research, drafting documents, and ensuring compliance with regulatory requirements.Key ResponsibilitiesConduct Legal ResearchConduct thorough research using...
-
Bid Specialist
2 weeks ago
Dubai, Dubai, United Arab Emirates AECOM Full timeJob DescriptionJob Title: Bid SpecialistJob Summary:We are seeking a highly skilled Bid Specialist to join our team at AECOM. The successful candidate will be responsible for leading compliance to the AECOM governance process for bids in the civil infrastructure department, including adherence to the AECOM Delegation of Authority.Key...
-
Electrical Design Specialist
6 days ago
Dubai, Dubai, United Arab Emirates Juma Al Majid Holding Group L.L.C Full timeJob Summary:We are seeking a highly skilled Electrical Design Specialist to join our team at Juma Al Majid Holding Group L.L.C. As an Electrical Design Specialist, you will be responsible for creating high-quality electrical drawings and designs using 2D CAD software.Key Responsibilities:Review and analyze electrical design drawings issued by project...
-
Treasury Operations Specialist
5 days ago
Dubai, Dubai, United Arab Emirates EDARI uae Full timeJob DescriptionAs a Treasury Operations Specialist at EDARI UAE, you will play a critical role in leading comprehensive configurations and solution designs to build global cash positions and forecasting capabilities. Your expertise will be essential in implementing automated cash closing processes and securing H2H/Swift payments following complex approval...
-
Aircraft Maintenance Specialist
1 week ago
Dubai, Dubai, United Arab Emirates Emirates Full timeJob DescriptionAircraft Maintenance SpecialistWe are seeking a highly skilled Aircraft Maintenance Specialist to join our team at Emirates. As an Aircraft Maintenance Specialist, you will be responsible for ensuring the safe and efficient maintenance of our aircraft.Key Responsibilities:Maintenance and Servicing: Carry out aircraft maintenance and servicing...
-
Legal Support Specialist
2 weeks ago
Dubai, Dubai, United Arab Emirates MAJID AL FUTTAIM Full timeAbout the RoleWe are seeking a highly skilled and experienced Legal Support Specialist to join our team at MAJID AL FUTTAIM. As a key member of our Corporate Legal department, you will play a critical role in supporting our business operations and ensuring compliance with all relevant laws and regulations.Key ResponsibilitiesConducting Legal Research:...