Medical Care Pre-Auth Specialist

MedNet Oman (MN-OMN) BU; Muscat; On-site; OMR 12,000 - 18,000; Full time

Job summary

Munich Re Oman MedNet Group is seeking a Medical Officer to handle pre-authorizations for outpatient and inpatient cases, coordinating with network providers to secure timely pre-approvals and ensure policy alignment.

The role emphasizes clinical policy knowledge, accurate coding, documentation, and timely processing, with a strong focus on quality, ethics, and fraud prevention while meeting productivity targets.

Qualifications

• Bachelor’s degree in Nursing or Pharmacy (preferred).
• Experience in UAE managed care or healthcare payer environments.
• Proficient MS Office suite; good written English.

Responsibilities

• Review outpatient and inpatient pre-authorization requests per medical policies and benefits.
• Assess medical necessity using clinical data, guidelines, and policy terms.
• Ensure accurate coding, approvals, documentation, and system updates.

Skills

English proficiency

Interpersonal skills

Negotiation skills

Analytical thinking

Education

Bachelor’s degree in Nursing or Pharmacy

Tools

MS Office

Excel

PowerPoint

Job description

Munich Re Oman MedNet Group is seeking a Medical Officer to handle pre-authorizations for outpatient and inpatient cases, coordinating with network providers to secure timely pre-approvals and ensure policy alignment.

The role emphasizes clinical policy knowledge, accurate coding, documentation, and timely processing, with a strong focus on quality, ethics, and fraud prevention while meeting productivity targets.