Healthcare Preapproval & Precertification Specialist

Accumed; Dubai; On-site; AED 89,280 - 133,920; Full time

Job summary

A healthcare management firm is seeking an Associate Pre-Approval to manage claims preapproval and precertification processes. The candidate will work closely with nurses and physicians to address any denied cases, ensuring high-quality submissions to insurance payers. A medical background in Nursing or related fields is preferred, along with knowledge of medical coding and billing. Proficiency in Microsoft Word and Excel is essential. This role requires excellent communication skills and timely resolution of issues.

Qualifications

• Preferred medical background for the position.
• Knowledge of medical coding is a plus.
• Certification in medical billing is advantageous.

Responsibilities

• Responsible for preapproval and precertification of claims.
• Monitor and follow up on prior authorization.
• Contact payers and physicians for approval-related matters.

Skills

Medical Coding knowledge

Proficient in Microsoft Word

Proficient in Microsoft Excel

Knowledge of insurance pre-authorization protocols

Education

Medical Background - Nursing/BAMS/BHMS/MBBS/BDS

Job description

A healthcare management firm is seeking an Associate Pre-Approval to manage claims preapproval and precertification processes. The candidate will work closely with nurses and physicians to address any denied cases, ensuring high-quality submissions to insurance payers. A medical background in Nursing or related fields is preferred, along with knowledge of medical coding and billing. Proficiency in Microsoft Word and Excel is essential. This role requires excellent communication skills and timely resolution of issues.