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Approval Officer

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  • Job
    Full-time
    Mid Level
  • Healthcare
    Business, Operations & Strategy
  • Dubai

Requirements

  • Bachelor’s Degree (Preferred Nursing, Coding or paramedical degree) with experience Insurance or healthcare industry.
  • Job Experience Required: At least three years in a health insurance, healthcare industry
  • Basic Knowledge in Computer and Microsoft application.
  • Fluent in spoken and written English. Spoken Arabic is advantageous but not essential.

Responsibilities

  • Under the supervision of the Audit Team leader; reviews, sends and follows-up preapproval requests received from various departments in the facility. Coordinates with the Billing Team and other teams of RCM Department in regards to any concerns relating to pre approvals. Responds to quires related to insurance coverage/Approvals of patients and assists in the same regard.
  • Assists in training newly inducted staff about various insurance protocols.
  • Monitors, dispatches approvals and does follow up of pending / rejected cases.
  • Coordinates with the doctors of NMC Hospital DIP & Insurance Companies in regards to justification of rejected approvals.
  • Coordinates with PRO, Billing and Front office teams for updation of approval status.
  • Handles all insurance related queries of staff and patients.
  • Prepares reports of daily productivity as requested by management and assists management in month end reporting as requested.
  • Improves Business relations through uniform, equitable and transparent application of the policies of NMC Hospital DIP
  • Assists in the overall development of unit Policy and Procedure which involves the RCM Department.
  • General administration of the office in the absence of Team Leader.

FAQs

What are the main responsibilities of the Approval Officer?

The Approval Officer reviews and follows up on pre-approval requests, coordinates with the Billing Team and other departments regarding insurance concerns, responds to queries about insurance coverage, assists in training new staff, monitors approvals, and handles all insurance-related inquiries from staff and patients.

What qualifications are required for the Approval Officer position?

A Bachelor’s Degree is preferred in Nursing, Coding, or a paramedical field, along with at least three years of experience in the health insurance or healthcare industry.

Is knowledge of computer applications necessary for this role?

Yes, basic knowledge in computer applications and Microsoft software is required for the Approval Officer position.

What language skills are preferred for this position?

Fluency in spoken and written English is required, and spoken Arabic is advantageous but not essential.

How does the Approval Officer assist in the training of new staff?

The Approval Officer assists in training newly inducted staff about various insurance protocols.

What is the role of the Approval Officer in managing rejected approvals?

The Approval Officer monitors, dispatches approvals, and follows up on pending and rejected cases, while also coordinating with doctors and insurance companies regarding justification for rejected approvals.

Does the Approval Officer contribute to reporting for management?

Yes, the Approval Officer prepares daily productivity reports as requested by management and assists in month-end reporting.

What additional administrative responsibilities does the Approval Officer have?

The Approval Officer manages general administration of the office in the absence of the Team Leader.

How does the Approval Officer improve business relations for the hospital?

The Approval Officer improves business relations through the uniform, equitable, and transparent application of the policies of NMC Hospital DIP.

Delivering personalised care that matters.

Science & Healthcare
Industry
10,001+
Employees
1974
Founded Year

Mission & Purpose

NMC Healthcare is one of the largest private healthcare networks in the United Arab Emirates, and the third largest in Oman. Since 1975, we have provided high quality, personalised, and compassionate care to our patients and are proud to have earned the trust of millions of people in the UAE and around the world. ---------------------------------------- DISCLAIMER: Fraudulent Job Offers ---------------------------------------- It has come to our attention that fake job offers have been circulated under the name of NMC Healthcare by certain individuals/entities claiming that they are representatives or subsidiaries or under contract with NMC Healthcare. If you receive any unauthorised, suspicious, or fraudulent offers or interview calls, please send an email to verification@nmc.ae for formal verification. If you believe you have been a victim of a recruitment fraud, you are encouraged to approach the law enforcement agencies immediately.

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