Pre-Approval Officer Jobs In Dubai | Al Futtaim Group

Pre-Approval Officer Jobs In Dubai | Al Futtaim Group

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• Receive the completed records and ensure that the marked deficiencies are cleared and follow the standards
• Timely submissions of all preapprovals as per KPIs
• Improve the quality of pre-approval submission to obtain approval from the first round.
• The role also include stoprevenue lossthrough monitoring and coordination with all concerned stakeholders like coding team and physicians to revise IC rejections.

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Responsibilities

• Review all claim forms which is assigned on the dashboard and provide adequate feedback on the same.
• Update Approvals received from Insurance companies with 100% accuracy
• Communicating with departments in case of any missing document or more information required
• -Meet daily claims verification productivity
• -Quantitative analysis – Perform a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered
• Follows coding guidelines and legal requirements to ensure compliance with regulatory guidelines
• Qualitative analysis – Evaluate the record for documentation consistency and adequacy. Ensure that the final diagnosis accurately reflects the care and treatment rendered. Review the records for compliance with established third party reimbursement agencies and special screening criteria

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Requirement

• Strong medical background to handle reconciliation efficiently.
• Strong Negotiation skills
• Strong soft skills

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