Job Title: Insurance Executive**Location:** Fujairah, UAE
**Job Type:** Full-time
**Salary:** AED 7,000 - AED 8,000 per month**Job Summary:**
The primary purpose of this position is to manage the IP Approval claims process. You will assist in day-to-day approval functions for insured beneficiaries in accordance with the submission conditions outlined in the Standard Provider Contract signed with payers, ensuring alignment with hospital operations.**Key Responsibilities:**1. **Coordination and Networking:**
- Collaborate with insurance companies regarding approvals for both outpatient and inpatient eligibility payments and other requirements.2. **Pre-Authorization Management:**
- Obtain pre-authorizations from insurance providers according to operational standards.3. **Contractual Compliance:**
- Ensure accurate application of contractual prices, discount schedules, benefit allocations, deductible collections, co-payments, and adherence to policy limits.4. **Claim Form Coordination:**
- Work closely with doctors, nursing staff, and ward teams to gather necessary claim forms.5. **Approval for Medical Procedures:**
- Secure approvals for medical procedures and handle pre-approvals for radiology, dental, obstetrics, and other specialties.6. **Query Management:**
- Address queries from doctors, insurance companies, and insured members related to claims processing, evaluation, and administration.7. **Customer Service Excellence:**
- Deliver outstanding customer service to insurance companies and insured members to achieve maximum satisfaction.8. **Additional Duties:**
- Perform other related tasks as assigned.**Educational Requirements:**
- Bachelor's Degree or Associate Degree in a related medical field.**Required Experience:**
- Minimum of 3-5 years of experience in healthcare, preferably in the Northern Emirates.
- CPC or CCS certification is a plus.
- Relevant medical field experience and qualifications.
- Ability to manage the insurance department independently.
- Familiarity with the latest medical coding standards.Job Title Insurance Executive
Job Title: Insurance Executive**Location:** Fujairah, UAE
**Job Type:** Full-time
**Salary:** AED 7,000 - AED 8,000 per month**Job Summary:**
The primary purpose of this position is to manage the IP Approval claims process. You will assist in day-to-day approval functions for insured beneficiaries in accordance with the submission conditions outlined in the Standard Provider Contract signed with payers, ensuring alignment with hospital operations.**Key Responsibilities:**1. **Coordination and Networking:**
- Collaborate with insurance companies regarding approvals for both outpatient and inpatient eligibility payments and other requirements.2. **Pre-Authorization Management:**
- Obtain pre-authorizations from insurance providers according to operational standards.3. **Contractual Compliance:**
- Ensure accurate application of contractual prices, discount schedules, benefit allocations, deductible collections, co-payments, and adherence to policy limits.4. **Claim Form Coordination:**
- Work closely with doctors, nursing staff, and ward teams to gather necessary claim forms.5. **Approval for Medical Procedures:**
- Secure approvals for medical procedures and handle pre-approvals for radiology, dental, obstetrics, and other specialties.6. **Query Management:**
- Address queries from doctors, insurance companies, and insured members related to claims processing, evaluation, and administration.7. **Customer Service Excellence:**
- Deliver outstanding customer service to insurance companies and insured members to achieve maximum satisfaction.8. **Additional Duties:**
- Perform other related tasks as assigned.**Educational Requirements:**
- Bachelor's Degree or Associate Degree in a related medical field.**Required Experience:**
- Minimum of 3-5 years of experience in healthcare, preferably in the Northern Emirates.
- CPC or CCS certification is a plus.
- Relevant medical field experience and qualifications.
- Ability to manage the insurance department independently.
- Familiarity with the latest medical coding standards.Post DetailsJob Start Date
Salary from 7000.00
Salary to 8000.00
Number of Vacancies 1
Location -Location City FujairahDesired Candidate's Profile
Gender No Preference
Nationality
Candidate Current Location
Work Experience 1-2 Years
Candidate Profile Description

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