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Approval Officer: Medical Claims & Coding Specialist

NMC Group

Abu Dhabi

On-site

AED 120,000 - 200,000

Full time

7 days ago
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Job summary

A healthcare organization in Abu Dhabi is seeking a professional for insurance claims management. The ideal candidate will have a Bachelor's degree in Medicine and at least 2 years of experience in claims adjudication and medical coding. Responsibilities include evaluating pre-approval requests, training staff on insurance processes, and preparing reports. Fluency in English and strong Microsoft skills are required. This role offers a full-time schedule with expectations of flexible working hours.

Qualifications

  • Minimum 2 years of experience in insurance claims management/adjudication.
  • Experience in medical coding (ICD, CPT, DRG, and HCPCS).
  • Excellent command of oral and written English.

Responsibilities

  • Evaluate pre‑approval requests for medical necessity.
  • Respond to Insurance/TPA queries promptly.
  • Train front office staff on insurance details.

Skills

Insurance claims management
Medical coding
Communication skills
Microsoft applications

Education

Bachelor’s degree in Medicine (MBBS)
Job description
A healthcare organization in Abu Dhabi is seeking a professional for insurance claims management. The ideal candidate will have a Bachelor's degree in Medicine and at least 2 years of experience in claims adjudication and medical coding. Responsibilities include evaluating pre-approval requests, training staff on insurance processes, and preparing reports. Fluency in English and strong Microsoft skills are required. This role offers a full-time schedule with expectations of flexible working hours.
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