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The Precertification Officer is responsible for obtaining prior authorizations for all procedural orders by successfully completing the authorization process with all commercial payers with high efficiency and within the agreed turnaround time to maintain the team KPIs. What You Do Assesses approval of medical approvals as well as policy use. Check...

A healthcare management firm is seeking an Associate Pre-Approval to manage claims preapproval and precertification processes. The candidate will work closely with nurses and physicians to address any denied cases, ensuring high-quality submissions to insurance payers. A medical background in Nursing or related fields is preferred, along with knowledge of...

Nextcare is looking for a Precertification Officer in Dubai, UAE, responsible for obtaining prior authorizations for procedural orders while meeting productivity targets. Candidates should possess a Bachelor's degree and 2+ years of medical practical experience, preferably with insurance providers or brokers. Proficiency in MS Office is required. The role...

Nextcare in Dubai is seeking a Medical Officer for Inpatient Precertification. This role involves managing precertification cases, ensuring adherence to timelines and compliance. The ideal candidate should have a Bachelor’s of Medicine (MBBS) and at least 1 year of clinical practice. Responsibilities include reviewing medical documentation and claims as...

Medical Officer – Inpatient Precertification is responsible for managing the Inpatient Precertification cases while ensuring departmental goals, timeline of activities, and compliance measures are met. Responsibilities - Precertification team is functional on a 24/7 basis. Therefore the Medical Officer will work on a flexible shift basis as per the...

Job Family Summary: The Operations Department is responsible to manage all aspects of claims management including Onsite operations and back end processing. The department primarily works on main objective of submitting the claims in time with highest quality to ensure the client receives the payment with minimal or no rejections. ...

Job Family Summary: The Operations Department is responsible to manage all aspects of claims management including Onsite operations and back end processing. The department primarily works on main objective of submitting the claims in time with highest quality to ensure the client receives the payment with minimal or no rejections. Role...

Job Family Summary: The Operations Department is responsible to manage all aspects of claims management including Onsite operations and back end processing. The department primarily works on main objective of submitting the claims in time with highest quality to ensure the client receives the payment with minimal or no rejections. ...

Medical Officer - Inpatient Precertification is responsible for managing the Inpatient Precertification cases while ensuring that departmental goals, timeline of activities, and compliance measures are met. What you do Precertification team is functional on 24/7 basis. Therefore the Medical Officer will be working on flexible shift basis as per the schedule...

The Operations Department is responsible to manage all aspects of claims management including Onsite operations and back end processing. The department primarily works on main objective of submitting the claims in time with highest quality to ensure the client receives the payment with minimal or no rejections.Role SummaryPreapproval Department is based at...

Are you a medical professional looking to transition into or advance your career within the health insurance and claims sector? We are expanding our team at WHealth International and currently looking for 2 dynamic candidates to join us as Medical Officers for Inpatient and Outpatient Precertification. What You Will Do : \* Case Adjudication: Manage and...