Inpatient Precertification Medical Officer — Flexible Shifts

Allianz; Abu Dhabi; Vor Ort; AED 180.000 - 260.000; Vollzeit

Zusammenfassung

Allianz Partners in Abu Dhabi seeks a Medical Officer for Inpatient Precertification. You will adjudicate cases, review multidisciplinary records, and ensure timely decisions within policy terms.

A Medical Doctor degree with 1–3 years of hospital or insurer experience is required, with preference for Certified Medical Coders. The role emphasizes AI readiness, data-driven decision making, and cost containment in a 24/7 precertification environment.

Qualifikationen

• MBBS is a must.
• 1–3 years of medical/practice experience (insurance or TPA experience a plus).
• Certified Medical Coder is preferable.
• Legally permitted to work in the country of operations.
• Fluency in MS Office and internet research.

Aufgaben

• Adjudicates IP precertification cases within turnaround time and policy terms.
• Performs complete file reviews including multispecialty notes, charts, and reports.
• Requests missing documentation essential for decision making.
• Reviews DRG SOI and CPT/ICD coding as needed with treating doctors and coders.
• Performs utilization review for DRG/FFS cases, including cost containment.

Kenntnisse

English communication

Interpersonal skills

Ausbildung

MBBS

Tools

MS Office

Jobbeschreibung

Allianz Partners in Abu Dhabi seeks a Medical Officer for Inpatient Precertification. You will adjudicate cases, review multidisciplinary records, and ensure timely decisions within policy terms.

A Medical Doctor degree with 1–3 years of hospital or insurer experience is required, with preference for Certified Medical Coders. The role emphasizes AI readiness, data-driven decision making, and cost containment in a 24/7 precertification environment.