Medical Claims Team Supervisor

6 days ago


Abu Dhabi, Abu Dhabi, United Arab Emirates NMC Royal Khalifa City Full time
About the Role

We are seeking an experienced Medical Claims Team Supervisor to supervise and manage our medical claims team at NMC Royal Khalifa City. The successful candidate will be responsible for supervising the team, assigning staff duties, and evaluating Pre-Approval requests from medical necessity for requested services.

Responsibilities
  • Managing the authorization team.
  • Assigning staff duty roasted in coordination with HOD.
  • Evaluate Pre-Approval requests from medical necessity for requested services according to medical data provided and accurately code service description codes stated on prior authorization requests.
  • Respond to Insurance/TPA queries and liaise with concerned departments without delay.

Requirements
  • Bachelor's degree/graduate from a recognized university.
  • Experience in Insurance Claims management/adjudication (minimum 5 years).
  • Excellent command of oral and written English.
  • Flexible and able to work under pressure.
  • Excellent knowledge of Microsoft applications.
  • Experience in managing team.


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