Pre-Approval Team Lead – Hospital Claims

Accumed; Dubai; On-site; AED 134,000 - 201,000; Full time

Job summary

A healthcare management firm seeks a Team Lead for Pre-Approval to manage claims and ensure timely approvals. Candidates should have a medical background, preferably in nursing or medicine, and should be familiar with medical coding and billing processes. Strong communication skills and proficiency in Microsoft Office are essential. The role demands high-quality work with adherence to stringent protocols, ensuring optimal patient satisfaction and minimal rejections. Ideal for those interested in a career in healthcare operations.

Qualifications

• Medical background in nursing or similar is preferred.
• Strong knowledge of medical coding is an added advantage.
• Fresher candidates may apply for junior roles.

Responsibilities

• Manage preapproval and precertification of claims.
• Monitor prior authorization for outpatient/inpatient services.
• Analyze problems and resolve issues swiftly.
• Communicate effectively with medical staff and insurers.

Skills

Medical Coding knowledge

Proficient in Microsoft Word

Proficient in Microsoft Excel

Strong background in insurance pre-authorization protocols

Education

Medical Background - Nursing /BAMS/BHMS/MBBS/BDS

Medical Billing Knowledge with certification

Job description

A healthcare management firm seeks a Team Lead for Pre-Approval to manage claims and ensure timely approvals. Candidates should have a medical background, preferably in nursing or medicine, and should be familiar with medical coding and billing processes. Strong communication skills and proficiency in Microsoft Office are essential. The role demands high-quality work with adherence to stringent protocols, ensuring optimal patient satisfaction and minimal rejections. Ideal for those interested in a career in healthcare operations.