Pre-Approval Executive - Healthcare Insurance

AlFuttaim; Dubai; On-site; AED 60,000 - 90,000; Full time

Job summary

Al-Futtaim Healthcare in Dubai, UAE, is seeking a Pre-Approval Executive to support insurance approvals, claims verification, and revenue-cycle activities across its clinics. You will review medical records and submissions, coordinate with physicians and internal teams, and monitor payer requirements to secure timely pre-approvals.

Reporting to the Revenue Cycle Manager, the role emphasizes accuracy, regulatory compliance, and reducing revenue loss by ensuring high-quality submissions and

Qualifications

• Minimum 3 years of experience in a similar role.
• Certified professional coding certificate from a reputed institution.
• Understanding of medical claims, pre-approvals, clinical documentation, and healthcare reimbursement processes.
• Ability to review medical records for completeness and documentation quality.
• Ability to work within defined productivity, quality, and turnaround-time requirements.

Responsibilities

• Review assigned claim forms and provide appropriate feedback on each case.
• Update approvals received from insurance companies with a high level of accuracy.
• Coordinate with relevant departments when documentation or additional information is required.
• Meet established daily claims-verification productivity requirements.
• Conduct quantitative reviews of medical records to confirm patient and record identification, signatures, dates, reports, and other documentation.
• Follow coding guidelines and applicable legal and regulatory requirements.
• Perform qualitative reviews to assess documentation consistency, completeness, and adequacy.
• Confirm that the final diagnosis appropriately reflects the care and treatment documented in the medical record.
• Review records against applicable third-party reimbursement and screening requirements.
• Identify documentation deficiencies and coordinate with the relevant staff and physicians for completion.
• Review completed records to confirm that identified deficiencies have been addressed.
• Submit pre-approval requests within established KPIs and turnaround times.
• Improve submission quality with the objective of securing payer approval during the initial review.
• Help prevent revenue loss by coordinating with coding teams, physicians, and other stakeholders to address insurance company rejections.
• Monitor approval practices across different payers and corporate accounts and apply appropriate actions to support pre-approval outcomes.
• Ensure eligible inpatient, outpatient, and pharmacy pre-approvals are submitted to the relevant insurance company or TPA.
• Follow up internally when insurers request additional supporting information.
• Coordinate with physicians to obtain clinical justification for pre-approval requests.
• Work with the team on complex cases to support faster payer decisions.
• Ensure PAR submissions are handled according to insurance industry and DHA requirements.
• Maintain required pre-approval KPI records and monitor performance against established targets.
• Support the billing and approval team in improving process flow.
• Coordinate with the CDI team to strengthen claims documentation practices among physicians and paramedical teams.
• Maintain accurate monthly data covering claims submissions for individual insurance companies.
• Work with other business stakeholders to improve the efficiency of the overall submission process.
• Analyse revenue-cycle financial data to identify defaulting payers and coordinate corrective strategies with the relevant departments to mitigate financial risk.

Skills

Negotiation

Communication

Coordination

Interpersonal skills

Education

Certified professional coding certificate

Job description

Pre-Approval Executive - Healthcare Insurance

Job Snapshot

Role: Pre-Approval Executive

Location: Dubai, UAE

Industry: Hospital and Health Care

Function: Healthcare/Medical

General Experience: Minimum 3 years in a similar role

Job Type: Full Time

Work Arrangement: On-site

Position Overview

Al-Futtaim Healthcare is seeking a Pre-Approval Executive in Dubai, UAE to support insurance approvals, claims verification, and revenue cycle activities across its healthcare operations. Reporting to the Revenue Cycle Manager, the role reviews medical records and insurance submissions, coordinates with physicians and internal teams, monitors payer requirements, and works to secure timely and accurate pre-approvals while reducing avoidable revenue loss.

Job Details

Country: UAE

City: Dubai

Industry: Hospital and Health Care

Function: Healthcare/Medical

Salary: Not disclosed

Gender: No Preference

Candidate Nationality: Not specified

Job Type: Full Time

Work Arrangement: On-site

About the Role

The Pre-Approval Executive serves as a key coordination point between the revenue cycle function, medical teams, insurance companies, and third-party administrators. The position requires a strong medical background and an understanding of coding, clinical documentation, payer requirements, and healthcare reimbursement processes. A major focus of the role is improving the quality of pre-approval submissions so that eligible inpatient, outpatient, and pharmacy cases have the supporting information needed for efficient payer review.

What You Will Do

• Review assigned claim forms and provide appropriate feedback on each case.
• Update approvals received from insurance companies with a high level of accuracy.
• Coordinate with relevant departments when documentation or additional information is required.
• Meet established daily claims-verification productivity requirements.
• Conduct quantitative reviews of medical records to confirm patient and record identification, signatures, dates, reports, and other documentation required for the treatment provided.
• Follow coding guidelines and applicable legal and regulatory requirements.
• Perform qualitative reviews to assess documentation consistency, completeness, and adequacy.
• Confirm that the final diagnosis appropriately reflects the care and treatment documented in the medical record.
• Review records against applicable third-party reimbursement and screening requirements.
• Identify documentation deficiencies and coordinate with the relevant staff and physicians for completion.
• Review completed records to confirm that identified deficiencies have been addressed.
• Submit pre-approval requests within established KPIs and turnaround times.
• Improve submission quality with the objective of securing payer approval during the initial review.
• Help prevent revenue loss by coordinating with coding teams, physicians, and other stakeholders to address insurance company rejections.
• Monitor approval practices across different payers and corporate accounts and apply appropriate actions to support pre-approval outcomes.
• Ensure eligible inpatient, outpatient, and pharmacy pre-approvals are submitted to the relevant insurance company or TPA.
• Follow up internally when insurers request additional supporting information.
• Coordinate with physicians to obtain clinical justification for pre-approval requests.
• Work with the team on complex cases to support faster payer decisions.
• Ensure PAR submissions are handled according to insurance industry and DHA requirements.
• Maintain required pre-approval KPI records and monitor performance against established targets.
• Support the billing and approval team in improving process flow.
• Coordinate with the CDI team to strengthen claims documentation practices among physicians and paramedical teams.
• Maintain accurate monthly data covering claims submissions for individual insurance companies.
• Work with other business stakeholders to improve the efficiency of the overall submission process.
• Analyse revenue-cycle financial data to identify defaulting payers and coordinate corrective strategies with the relevant departments to mitigate financial risk.

Required Skills

The position requires a strong medical background to support effective reconciliation and review activities. Candidates should also demonstrate strong negotiation, communication, coordination, and interpersonal skills when working with physicians, payers, coding teams, and other healthcare stakeholders.

Qualifications and Experience

• Minimum 3 years of experience in a similar role.
• Certified professional coding certificate from a reputed institution.
• Understanding of medical claims, pre-approvals, clinical documentation, and healthcare reimbursement processes.
• Ability to review medical records for completeness and documentation quality.
• Ability to work within defined productivity, quality, and turnaround-time requirements.

About the Team

The role reports to the Revenue Cycle Manager and supports the review and updating of claims and approvals received from insurance companies. The Pre-Approval Executive also acts as a point of coordination between the revenue cycle department and medical staff working within the clinics.

About Al-Futtaim Healthcare

Al-Futtaim Healthcare operates HealthHub Clinics, a multi-speciality healthcare network with more than 20 clinics in Dubai and over 25 specialties. HealthHub combines diagnostic capabilities, medical expertise, and specialised healthcare services with an evidence-based and patient-centred approach to care. Al-Futtaim Group is a privately held regional business headquartered in Dubai, with operations spanning automotive, financial services, real estate, retail, and healthcare across countries in the Middle East, Asia, and Africa.