Medical Claims Officer (pre Authorization Officer)

Dubai, United Arab Emirates

Job Description

OverviewM42 is an Abu Dhabi-based, global tech-enabled health company. It combines G42 Healthcares unique medical and data-centric technologies with Mubadala Healths world-class patient services and state-of-the-art facilities to provide the highest level of personalized, precise, and preventative care.Facility Overview:Mubadala Health Dubai in Jumeirah provides multidisciplinary medical, pediatric, and surgical specialties. Our state-of-the-art facility houses 96 consultation rooms, 5 operating rooms, and 2 endoscopy suites, as well as an in-house laboratory, in-house pharmacy, a radiology department, dedicated rehabilitation gyms, and dedicated procedure rooms, all of which offer a full continuum of care to our patients as they navigate through their healthcare journey.Role Overview:The Officer, Pre-Authorization, ensures timely and accurate submission of pre-authorization requests, supporting efficient patient care.Responsibilities
  • Stay updated on medical codes and regulatory standards.
  • Ensure accurate and timely submission of pre-authorization requests.
  • Verify request accuracy, including required documents and patient information.
  • Coordinate with clinical teams to clarify procedures and diagnoses.
  • Track and follow up on prior authorization requests proactively.
  • Communicate with insurance companies, clinicians, and patients as needed.
  • Document and maintain authorization details in the hospital system.
  • Comply with health, safety, and infection control regulations.
QualificationsEducation: Healthcare professional with Bachelor degree or graduate with an accredited Diploma course from a related healthcare fieldExperience: 2 years of relevant experience in a similar roleCertificate and Licensure: Regularly updated Certificate in Coding from accredited institutions

National Reference Laboratory

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Job Detail

  • Job Id
    JD1811602
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Dubai, United Arab Emirates
  • Education
    Not mentioned