Inpatient Precertification Medical Officer - Flexible Shifts

Allianz Partners; United Arab Emirates; Presencial; AED 180.000 - 300.000; Jornada completa

Descripción de la vacante

Allianz Partners seeks a Medical Officer – Inpatient Precertification to manage precertification cases, ensuring timely decisions and compliance with policy terms.

You will review multidisciplinary notes, order requirements, and conduct DRG/SOI assessments, focusing on cost containment and quality. MBBS with 1–3 years of experience is required; shift-based scheduling is offered within a global insurer.

Formación

• MBBS from an accredited medical school.
• 1–3 years of medical practice experience.
• Certified Medical Coder preferred.
• Fluency in MS Office and strong English communication skills.

Responsabilidades

• Manage inpatient precertification cases with adherence to turnaround times and policy terms.
• Review multidisciplinary notes, lab and radiology reports, and nursing/progress notes to support decisions.
• Identify missing documentation and obtain required records for decision making.
• Perform DRG SOI reviews and CPT/ICD coding alignment with CPT/ICD guidelines.
• Conduct utilization review for DRG and FFS cases, including cost containment considerations.
• Refer cases for second opinions when appropriate to optimize management and costs.
• Embrace AI-readiness and data-driven approaches within governance and security standards.

Conocimientos

MS Office

English communication

Educación

MBBS

Descripción del empleo

Allianz Partners seeks a Medical Officer – Inpatient Precertification to manage precertification cases, ensuring timely decisions and compliance with policy terms.

You will review multidisciplinary notes, order requirements, and conduct DRG/SOI assessments, focusing on cost containment and quality. MBBS with 1–3 years of experience is required; shift-based scheduling is offered within a global insurer.