Approval Officer NMC healthcare LLC

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Approval Officer

Sharjah, United Arab Emirates

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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.