Inpatient Precertification Medical Officer - Flexible Shifts

Nextcare; Dubai; Vor Ort; AED 167.400 - 279.000; Vollzeit

Zusammenfassung

Nextcare in Dubai is seeking a Medical Officer for Inpatient Precertification. This role involves managing precertification cases, ensuring adherence to timelines and compliance. The ideal candidate should have a Bachelor’s of Medicine (MBBS) and at least 1 year of clinical practice. Responsibilities include reviewing medical documentation and claims as per insurance coding guidelines. Applicants must be legally permitted to work in the UAE and proficient in MS Office. Knowledge of insurance practices is a plus.

Qualifikationen

• 1–2 years of medical experience, particularly in insurance is a plus.
• Legally permitted to work in the UAE.
• Physically fit to perform duties.

Aufgaben

• Manage Inpatient Precertification cases, ensuring departmental goals are met.
• Adjudicate cases and perform complete file reviews.
• Conduct utilization reviews for DRG and FFS cases.

Kenntnisse

Clinical practice

MS Office proficiency

Insurance industry knowledge

Ausbildung

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

Jobbeschreibung

Nextcare in Dubai is seeking a Medical Officer for Inpatient Precertification. This role involves managing precertification cases, ensuring adherence to timelines and compliance. The ideal candidate should have a Bachelor’s of Medicine (MBBS) and at least 1 year of clinical practice. Responsibilities include reviewing medical documentation and claims as per insurance coding guidelines. Applicants must be legally permitted to work in the UAE and proficient in MS Office. Knowledge of insurance practices is a plus.