Authorization & Preapproval Specialist

SUNDUS MANAGEMENT CONSULTANCY & STUDIES BUREAUL.L.C; Abu Dhabi; Presencial; AED 70.000 - 100.000; Jornada completa

Descripción de la vacante

Sundus Management Consultancy & Studies Bureau L.L.C in Abu Dhabi is seeking an experienced Insurance Verification and Authorization Specialist to ensure accurate preauthorizations, eligibility checks and timely referrals. The role demands meticulous attention to medical codes and payer requirements within a fast-paced healthcare setting.

You will collaborate with clinicians, billing staff and external providers, manage EHR workflows, resolve denials with the team, and support quality standards

Formación

• High School Diploma or GED required.
• Minimum of 5-7 years of direct experience in healthcare insurance verification and authorization.
• Proficiency in utilizing Electronic Health Record (EHR) and practice management software.
• Strong understanding of medical terminology, CPT, HCPCS, and ICD-10 coding principles.

Responsabilidades

• Interpret insurance plans, SOB exclusions, and network eligibility.
• Process referrals and authorization requests accurately and promptly.
• Review medical records, patient history, diagnoses, and treatment plans for coding accuracy.
• Communicate effectively with patients, insurers, physicians, clinical teams, and external facilities.
• Monitor EMR referral queues, follow Lean workflows, and minimize delays in patient care.
• Coordinate with Financial Counselors on denials and retro-authorizations where appropriate.

Conocimientos

EHR proficiency

Authorization processing

Medical terminology

Educación

Associate's or Bachelor's degree in healthcare administration

Herramientas

Practice management software

EHR systems

Descripción del empleo

Sundus Management Consultancy & Studies Bureau L.L.C in Abu Dhabi is seeking an experienced Insurance Verification and Authorization Specialist to ensure accurate preauthorizations, eligibility checks and timely referrals. The role demands meticulous attention to medical codes and payer requirements within a fast-paced healthcare setting.

You will collaborate with clinicians, billing staff and external providers, manage EHR workflows, resolve denials with the team, and support quality standards