This Job is Old and Position Might be Filled Medical Consultant-Medical Authorization IP Neuron LLC Posted on September 9, 2017 2 - 4 years Dubai - United Arab Emirates MBBS(Medicine). Any Nationality Easy Apply Login To ApplyRegister & ApplyApply Without Registration Send Me Jobs Like This SEND Alert Set Successfully Opening 01 Job Description EMAIL JOB SEND Email sent successfully. SHARE JOB Job Purpose:The job holder will be responsible for handling Pre-authorization requests with assuring excellent customer service. Provide ongoing support and expertise through comprehensive assessment, planning, implementation and overall evaluation of the cases.Roles and Responsibilities• Answer all incoming calls related to Inpatient authorizations following the Company guidelines and protocols. In case of call queues handle OP calls as well• Reviews case records and reports, collects and analyzes data, evaluates client s medical status and defines needs and problems in order to provide proactive case management services• Handle incoming client/provider emails for ongoing/escalated IP cases• Facilitate and complete the administrative and demographic portion of the Pre-authorization screen module for each request received from the provider/ clients / members• Handles escalated calls from Executives of the Medical Authorization OP and IP team that require an intervention and ensure a resolution is achieved.• Authorize medical treatment and associated diagnostic testing on assigned claims as allowed by various insurance policies• Work the Case Managers and Sr. Medical Authorization Consultants who in turn will liaise with medical providers and suggest cost effective treatment alternatives, when appropriate.ORGANIZATIONAL DUTIES• Ensure Service Level Agreements (SLA) of the client is met for based on the contractual agreement.• Maintain a good knowledge of service provided by Neuron, including Medical insurance policies and the network of hospitals, clinics and pharmacies provided• Continuously strive to improve the processes and ensure high level of customer satisfaction and meet all the service level agreements set by our clients and the company.• Comply with established Best PracticesQualifications:• Graduate Medical Qualification (MBBS Doctor)• Familiarity with medical terminologies• Excellent command over English (both verbal and written)• Strong Customer Service Skills• Ability to work on your own initiative and as part of a team• Ability to prioritize work• Problem solving skills and ability to generate solutions• Prior experience in Insurance industry preferably TPA Company Industry Insurance Department/Functional Area Doctor / Nurse / Paramedics / Hospital Technicians / Medical Research Keywords Claims Diagnostics TPA English Administration Medical insurance Policies Customer service Module Management services Login To ApplyRegister & ApplyApply Without Registration REPORT THIS JOB Disclaimer: Naukrigulf.com is only a platform to bring jobseekers & employers together. Applicants are advised to research the bonafides of the prospective employer independently. We do NOT endorse any requests for money payments and strictly advice against sharing personal or bank related information.We also recommend you visit Security Advice for more information. If you suspect any fraud or malpractice, email us at email@example.com People Looking for Medical Consultant Jobs also searched Dubai UAE All Jobs Medical Consultant Jobs in Dubai Medical Jobs in Dubai Medical Insurance Jobs in Dubai Customer Satisfaction Jobs in Dubai Customer Service Jobs in Dubai Service Level Jobs in Dubai Management Services Jobs in Dubai Medical Consultant Jobs in UAE Medical Jobs in UAE Medical Insurance Jobs in UAE Customer Satisfaction Jobs in UAE Customer Service Jobs in UAE Service Level Jobs in UAE Management Services Jobs in UAE Medical Consultant Jobs Medical Jobs Medical Insurance Jobs Customer Satisfaction Jobs Customer Service Jobs Service Level Jobs Management Services Jobs Additional Information Required Employer has requested some additional information along with your application for this job Cancel Login to Naukrigulf Continue using GOOGLE FACEBOOK All your activity will remain private or Forgot Password?