Approval Officer

؜ - ؜Sharjah ؜ -
Advertiser's site

Job details


  • 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

Report abuse

Job Summary

  • Advertiser: NMC Healthcare
  • Announcement date: 06/09/2023
  • Type of employment: -
  • Experience level: -
  • Educational level: -
  • Job location: Sharjah
  • Salary: -
  • Phone number: -

More jobs like this

Approval Officer
Sharjah
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…

Approval Officer
Sharjah
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…

Approval Officer
Dubai
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…

Approval Officer
Abu Dhabi
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…

Approval Officer
Dubai
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…

Medical Approval Officer
Cairo
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…

Medical Approval officer
Cairo
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…

Medical Insurance Approval Officer - Medical Center -...
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 …

Loss Prevention Officer (Security Officer)
Sharjah
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** …

Logistics Officer
Sharjah
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…

اللغة: العربيّة