Inpatient Precertification Medical Officer - Flexible Shifts

Nextcare; Abu Dhabi; On-site; AED 150,000 - 220,000; Full time

Job summary

Nextcare in Abu Dhabi is seeking a Medical Officer for Inpatient Precertification. The role involves managing precertification cases, conducting comprehensive file reviews, and ensuring compliance with regulatory standards. Candidates should possess a Bachelor’s of Medicine (MBBS) with at least one year of clinical experience. Familiarity with the insurance sector is advantageous. Responsibilities include reviewing claims and working in a dynamic environment shaped by AI and analytics while adhering to company protocols.

Qualifications

• At least 1 year of clinical practice or relevant nursing experience.
• 1–2 years of medical experience in insurance settings is a plus.
• Legally permitted to work in the UAE.

Responsibilities

• Manage Inpatient Precertification cases ensuring compliance and standards.
• Review medical documentation for decision making.
• Perform reviews according to CPT and ICD coding guidelines.

Skills

Clinical practice

MS Office proficiency

Insurance industry knowledge

Education

Bachelor's of Medicine (MBBS) or Bachelor of Nursing

Job description

Nextcare in Abu Dhabi is seeking a Medical Officer for Inpatient Precertification. The role involves managing precertification cases, conducting comprehensive file reviews, and ensuring compliance with regulatory standards. Candidates should possess a Bachelor’s of Medicine (MBBS) with at least one year of clinical experience. Familiarity with the insurance sector is advantageous. Responsibilities include reviewing claims and working in a dynamic environment shaped by AI and analytics while adhering to company protocols.