Medical Claims Pre-Approval Specialist | Dubai

AlFuttaim; Dubai; On-site; AED 67,000 - 100,000; Full time

Job summary

Al-Futtaim Health is seeking a Pre-Approval Officer - Medical Claims in Dubai to review medical records, verify insurance requirements, and submit accurate pre-approval requests for eligible treatments and services. The role reports to the Revenue Cycle Manager and involves coordinating between insurers, third-party administrators, coding teams and clinical staff.

Ideal candidates have at least three years of experience in medical insurance pre-approvals or related revenue-cycle functions, with

Qualifications

• Minimum 3 years in medical insurance pre-approvals or a similar role.
• Experience reviewing medical records and submitting pre-approval requests.
• Strong knowledge of DHA regulatory requirements.
• Ability to coordinate with insurers, clinicians and billing teams.

Responsibilities

• Review claim forms and pre-approval submissions from verification to payer response.
• Verify patient information, clinical justification and supporting documentation.
• Coordinate with physicians and coding teams to secure approvals.
• Monitor payer requirements and analysis of rejection patterns.
• Ensure submissions comply with DHA regulations.
• Maintain KPI submission timelines.
• Communicate effectively with internal teams and insurers.

Skills

Medical insurance pre-approvals

Medical coding

Claims verification

Payer negotiations

Regulatory compliance

Communication

Education

Recognised professional medical-coding certificate

Job description

Al-Futtaim Health is seeking a Pre-Approval Officer - Medical Claims in Dubai to review medical records, verify insurance requirements, and submit accurate pre-approval requests for eligible treatments and services. The role reports to the Revenue Cycle Manager and involves coordinating between insurers, third-party administrators, coding teams and clinical staff.

Ideal candidates have at least three years of experience in medical insurance pre-approvals or related revenue-cycle functions, with