Approval Officer NMC healthcare LLC

Posted 30+ days ago

Experience

2 - 6 Years

Education

Secondary School, Intermediate School, Any Graduation

Nationality

Any Nationality

Gender

Any

Vacancy

1 Vacancy

Job Description

Roles & Responsibilities

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Approval Officer

Sharjah, United Arab Emirates

Trending

Job Description

Manages insurance approvals for insured patients. Liaises between NMCRHSHJ and Insurance Companies.

Responsibilities

  • Coordinates with clinicians and/or other clinical staff of different specialities for gathering relevant information/documentation for onward submission.

  • Liaises with Insurance Companies/TPAs for submitting, resubmitting and replying queries raised by Insurance Companies/TPAs efficiently.

  • Shows knowledge of medical terminologies and good command on pronouncing medical words.

  • Demonstrates strong attention to details and ability to multitask within the fast- paced, high-pressure work environment.

  • Able to manage filing and tracking approval/denials/queries and inform concerned clinicians and patients about the requested service(s) status.

  • Prepares cost estimation accurately as per the current agreed terms.

  • Responsible for maintaining an active database of the instructions/communication about Insurance Companies/TPAs from RCM Office.

  • Practices professional telephone etiquette and customer service while making claim inquires and quickly resolving any patient complaints and concerns.

  • Provides aid to Front Desk Staff regarding Insurance Protocols and Coverage.

  • Maintains strict confidentiality related to medical records and other data.


Desired Candidate Profile

Qualifications Bachelor’s degree from an accredited college / university. Coding and claims processing skills will be preferred. Certification from AAPC / AHIMA is a must.

Employment Type

    Full Time

Company Industry

Department / Functional Area

Keywords

  • Approval Officer
  • Approval
  • AHIMA

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NMC healthcare LLC

NMC is a diversified business conglomerate. One of the focus areas being Healthcare, with Specialty Hospitals, Medical centres and Clinics across the UAE.

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