Approval Officer

Full Time

Website NMC Healthcare

NMC Healthcare is the largest private healthcare company in the UAE and ranks amongst the leading fertility service providers in the world. Over the last 46 years, NMC has earned the trust of millions, thanks to its personalized care, genuine concern and a sincere commitment to the overall well-being of the patient.NMC Healthcare is the largest private healthcare company in the UAE and ranks amongst the leading fertility service providers in the world. Over the last 46 years, NMC has earned the trust of millions, thanks to its personalized care, genuine concern and a sincere commitment to the overall well-being of the patient.

Job Description

  • Under the supervision of the Audit Team leader; reviews, sends and follows-up preapproval requests received from various departments in the facility. Coordinates with the Billing Team and other  teams of RCM Department in regards to any concerns relating to pre approvals. Responds to quires related to insurance coverage/Approvals of patients and assists in the same regard.

Responsibilities

  • Assists in training newly inducted staff about various insurance protocols.
  • Monitors, dispatches approvals and does follow up of pending / rejected cases.
  • Coordinates with the doctors of NMC Hospital DIP & Insurance Companies in regards to justification of rejected approvals.
  • Coordinates with PRO, Billing and Front office teams for updation of approval status.
  • Handles all insurance related queries of staff and patients.
  • Prepares reports of daily productivity as requested by management and assists management in month end reporting as requested.
  • Improves Business relations through uniform, equitable and transparent application of the policies of NMC Hospital DIP
  • Assists in the overall development of unit Policy and Procedure which involves the RCM Department.
  • General administration of the office in the absence of Team Leader.

Qualifications

  • Bachelor’s Degree (Preferred Nursing, Coding or paramedical degree) with experience Insurance or healthcare industry.
  • Job Experience Required: At least three years in a health insurance, healthcare industry
  • Basic Knowledge in Computer and Microsoft application.
  • Fluent in spoken and written English. Spoken Arabic is advantageous but not essential.

To apply for this job please visit eiby.fa.em2.oraclecloud.com.