Approval Officer

؜ - ؜الشارقة ؜ -

تفاصيل الوظيفة


  • Verifies customers' insurance eligibility and authorization in a timely and accurate manner

  • Communicates payer authorization and eligibility information.

  • Sends payer informational correspondence.

  • Complete service and procedure authorizations and referrals

  • Review the patient's medical history and insurance coverage for approval.

  • If necessary, contact referral physicians for more information.

  • Once approval is obtained, the concerned staff and treating physicians should be notified.

  • Enter new patient information and update data in our system.

  • As needed, assist with other doctors indications responsibilities.

  • Notifies branch management of concerns with payer coverage or other service noncoverage.

  • Keep track of the daily production report.

  • Keep the pending approval monitoring system updated for the next day's follow-up.

  • The supervisor and team leader will monitor the schedules and emergency requirements and all the quires from the facility.


  • Guide the doctors and concerned doctors, nursing staff and other staff to follow the correct ICD, CDT and CPT codes to avoid the rejection.




  • Verifies customers' insurance eligibility and authorization in a timely and accurate manner



  • Communicates payer authorization and eligibility information.

  • Sends payer informational correspondence.

  • Complete service and procedure authorizations and referrals

  • Review the patient's medical history and insurance coverage for approval.

  • If necessary, contact referral physicians for more information.

  • Once approval is obtained, the concerned staff and treating physicians should be notified.

  • Enter new patient information and update data in our system.

  • As needed, assist with other doctors indications responsibilities.

  • Notifies branch management of concerns with payer coverage or other service noncoverage.

  • Keep track of the daily production report.

  • Keep the pending approval monitoring system updated for the next day's follow-up.

  • The supervisor and team leader will monitor the schedules and emergency requirements and all the quires from the facility.


  • Guide the doctors and concerned doctors, nursing staff and other staff to follow the correct ICD, CDT and CPT codes to avoid the rejection.




  • CPC / AAPC certification



  • Any bachelor's degree

ملخص الوظيفة

  • المُعلن : NMC Healthcare
  • تاريخ الإعلان : 06/09/2023
  • نوع العمل : -
  • مستوى الخبرة : -
  • المستوى التعليمي : -
  • مكان العمل : الشارقة
  • الراتب : -
  • الهاتف : -

وظائف أخرى مثل هذه الوظيفة

الشارقة
14/10/2023

* Verifies customers' insurance eligibility and authorization in a timely and accurate manner. * Communicates payer authorization and eligibility information. * Sends payer informational correspondence. * Complete service and procedure authorizations and referrals * Review the patient's…

الشارقة
15/09/2023

* Apply medical knowledge and best insurance practice while reviewing and verifying the Pre-Approval requests (OP/ IP) received from different departments to obtain authorizations as required by insurance companies dependent upon the plan coverage for all Insurance patients. Ensure that the details…

دبي
03/10/2023

* Apply medical knowledge and best insurance practice while reviewing and verifying the Pre-Approval requests (OP/ IP) received from different departments to obtain authorizations as required by insurance companies dependent upon the plan coverage for all Insurance patients. Ensure that the details…

أبو ظبي
17/10/2023

* Ensuring coverage of claims, guiding staff for correct use age of claim forms, approval papers. * Getting approval for medical procedures. * Coordinating with insurance companies for obtaining information on new policies and their coverage. * Explaining coverage of medical benefits to pa…

دبي
27/10/2023

* Apply medical knowledge and best insurance practice while reviewing and verifying the Pre Approval requests (OP/ IP) received from different departments to obtain authorizations as required by insurance companies dependent upon the plan coverage for all Insurance patients. Ensure that the details…

القاهرة
17/11/2022

**Job Number** 22199833 **Job Category** Human Resources **Location** Cairo Marriott Hotel & Omar Khayyam Casino, 16 Saray El Gezira Street, Cairo, Egypt, Egypt VIEW ON MAP **Schedule** Full-Time **Located Remotely?** N **Relocation?** N **Position Type** Non-Management **POSITION S…

القاهرة
10/06/2023

**Job Number** 23105473 **Job Category** Health Care Services **Location** Cairo Marriott Hotel & Omar Khayyam Casino, 16 Saray El Gezira Street, Cairo, Egypt, Egypt VIEW ON MAP **Schedule** Full-Time **Located Remotely?** N **Relocation?** N **Position Type** Non-Management **POSIT…

الإمارات
07/09/2023

We are looking for the insurance approval officer for the medical center in Dubai Location: Business Bay Position: Insurance Approval Officer Salary: 4,500AED - 5,000AED Must have experience in Insurance approval Immediate joiner No to Job hopping Minimum of 2 years experience in UAE is a MUST Job …

الشارقة
11/01/2023

**Job Number** 23001523 **Job Category** Loss Prevention & Security **Location** Sheraton Sharjah Beach Resort & Spa, Al Muntazah Street, Sharjah, United Arab Emirates, United Arab Emirates VIEW ON MAP **Schedule** Full-Time **Located Remotely?** N **Relocation?** N **Position Type** …

الشارقة
16/06/2022

The Role **Responsibilities and Duties:** • Support the Head of Customer Service with the daily tasks • Prepare delivery documents (local and export) • Follow up and update system for orders dispatch, arrival & receiving and coordinate with the customers & sales team. • Prepare offers and Profor…

Language: English