Approval Officer

NMC GROUP SERVICES.; Dubai; On-site; AED 112,000 - 156,000; Full time

Job summary

NMC Group Services Dubai is seeking a detail-oriented medical coder to support insurance pre-authorization and claims processing within our healthcare operations.

You will verify eligibility, obtain approvals, enter patient data, and ensure coding standards ICD, CPT, DRG, HCPCS are accurately applied to minimize denials. 2+ years of experience is preferred.

Qualifications

• College Diploma in any discipline.
• Proficiency in ICD, CPT, DRG, HCPCS coding standards.
• 2+ years experience in insurance claims management or pre-authorization processes.

Responsibilities

• Verify insurance eligibility and obtain authorizations timely and accurately.
• Communicate payer authorization and eligibility information.
• Enter new patient information and update data in the system.
• Ensure ICD, CPT, and CDT coding are correctly followed to avoid rejections.

Skills

Medical coding

Insurance claims management

Pre-authorization

Education

College Diploma

Job description

Responsibilities

• Verifies customers insurance eligibility and authorization in a timely and accurate mannerCommunicates payer authorization and eligibility information Sends payer informational correspondence Complete service and procedure authorizations and referralsReview the patient s medical history and insurance coverage for approval nbsp 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 clerical 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 staff to follow the correct ICD CDT and CPT codesto avoid the rejection College Diploma - Any discipline or related fields. Proficiency in medical coding standards: ICD, CPT, DRG, HCPCSExperience in insurance claims management or pre-authorization (approval) processes, typically 2+ years

Qualifications

• College Diploma - Any discipline or related fields. Proficiency in medical coding standards: ICD, CPT, DRG, HCPCSExperience in insurance claims management or pre-authorization (approval) processes, typically 2+ years