Healthcare Pre-Approval Specialist

Al-Futtaim; United Arab Emirates; On-site; AED 80,000 - 120,000; Full time

Job summary

Al Futtaim Health is seeking a Pre-Approval Officer to ensure accurate and timely review of claim forms and submissions. This role involves interacting with physicians and insurance companies to handle pre-approvals efficiently.

The successful candidate will have a minimum of 3+ years’ experience in a similar role and a strong medical background. This is an opportunity to join a dedicated team focused on improving overall submission process efficiency.

Qualifications

• Minimum 3+ years' experience in a similar role.
• Strong medical background to handle reconciliation efficiently.
• Strong negotiation and soft skills.

Responsibilities

• Review all claim forms assigned on the dashboard and provide adequate feedback.
• Update approvals received from insurance companies with 100% accuracy.
• Communicate with departments when documents are missing or additional information is required.
• Meet daily claims verification productivity targets.
• Perform quantitative and qualitative analysis for compliance.
• Ensure timely submissions of all pre-approvals.

Skills

Medical background

Negotiation skills

Soft skills

Education

Certified professional coding certificate

Job description

Al Futtaim Health is seeking a Pre-Approval Officer to ensure accurate and timely review of claim forms and submissions. This role involves interacting with physicians and insurance companies to handle pre-approvals efficiently.

The successful candidate will have a minimum of 3+ years’ experience in a similar role and a strong medical background. This is an opportunity to join a dedicated team focused on improving overall submission process efficiency.