Medical Care Pre-Authorization Officer (UAE)

Munich Re Group; Muscat; On-site; OMR 18,000 - 30,000; Full time

Job summary

Munich Re Oman MedNet Group is seeking an Officer - Medical Care Unit to manage pre-approvals for outpatient and inpatient cases and coordinate with network providers for requisitions.

The role requires reviewing requests, assessing medical necessity, and ensuring proper documentation and coding while upholding medical ethics and accuracy. Strong English communication and negotiation skills are essential.

Qualifications

• Bachelor's degree in Nursing or Pharmacy is preferred.
• Minimum 2–3 years of experience in the UAE managed care industry.
• Good knowledge of health insurance concepts and the UAE healthcare system.

Responsibilities

• Review and process outpatient and inpatient pre-authorization requests in line with policies.
• Assess medical necessity based on clinical information and policy terms.
• Ensure accurate medical coding, approvals, and system updates.

Skills

Interpersonal skills

Negotiation

Analytical skills

Problem solving

Planning

Organizational skills

Written English

Education

Bachelor's degree in Nursing or Pharmacy

Tools

MS Office

Excel

PowerPoint

Job description

Munich Re Oman MedNet Group is seeking an Officer - Medical Care Unit to manage pre-approvals for outpatient and inpatient cases and coordinate with network providers for requisitions.

The role requires reviewing requests, assessing medical necessity, and ensuring proper documentation and coding while upholding medical ethics and accuracy. Strong English communication and negotiation skills are essential.