- Evaluate the Pre Approval requests from medical necessity for the requested service according to the medical data provided and accurately code the service description codes stated on the prior authorization requests, according to accepted medical coding rules, medical guidelines and policy's schedule of benefits.
- Respond to Insurance/ TPA queries and liaise with concerned department without any delay.
- Responsible for receiving, evaluating and escalating second opinion cases and case management.
- Prepares reports of daily activity as requested for management and assists management in monthly reports as requested.
- Attend Meetings and Presentation.
- To adjust duties in case of any sudden/ emergency unplanned leaves by colleagues.
- Managing and handling pending cases (if any) to the next shift colleagues.
- Performs any other jobs or duties assigned by the HOD from time to time within the scope of job title.
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The Assistant Accountant at Thrifty Car Rental will support the Finance Department in processing refunds. · ...
Dubai2 weeks ago
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The Medical Approval Specialist is responsible for reviewing and approving payment on pre-approvals received from hospitals/clinics; the incumbent will respond to all members/clients queries ensuring high level of customer medical necessity and satisfaction. · Consult with the Pr ...
Dubai1 month ago
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Providing approval of services for the insured member through DHPO, email and PBM, over riding of rejected medication if falls under policy t&c and if clinically justified. · Providing excellent customer service through responding swiftly to queries from insured member, medical p ...
Dubai6 days ago
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Description · Handling the rejected pre-authorization and get required justification from the treating doctor to resend it to Insurance Company and obtain the approval. · Ensure that the details of the Pre-Authorization Requests are in line with the regulators' standards especial ...
Dubai, United Arab Emirates1 week ago
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Conduct pre-employment and periodic medical examinations · Assess and certify fitness for work · Diagnose and treat general and work-related medical conditions · Review lab and radiology reports · Provide first aid and emergency care · Maintain accurate medical records and report ...
Dubai د.إ240,000 - د.إ480,000 (AED) per year5 days ago
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We are looking for a skilled dental nurse to join our team at Kings Medical Center in Dubai. The successful candidate will be responsible for assisting the dentist during procedures and treatments. · ...
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Deliver top-tier medical benefits services that support employees' health and well-being. Provide leadership and medical oversight to ensure delivery of high-quality care for members with complex needs. · ...
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Description · Duties & Responsibilities: · Perform a physical assessment on each patient, paying special attention to the teeth. · Assist the physician in the performance of skin exams, monitor and record a patient's medical history, and be aware of relevant test results. · Assis ...
Dubai, United Arab Emirates1 week ago
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This is a full-time Medical Coder position at KIMS Medical Center, Dubai. The role involves reviewing patient medical records, processing insurance pre-authorizations for claims, analyzing claim rejections, and continuously improving coding and authorization processes to ensure a ...
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The jobholder will be responsible for processing ePAR and PBM cases thru calls and emails. Ensure timely review of ePAR and PBM cases and process as per prescribed guidelines and protocols. · ...
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The Gastrointestinal Surgeon will be responsible for diagnosing and surgically treating diseases and disorders affecting the digestive system. · ...
Dubai, United Arab Emirates2 weeks ago
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SearchPlus HR is excited to announce an opening for a Junior Consultant in Cardiac Anesthesia at a reputable government facility. This entry-level position is perfect for newly qualified anesthesiologists eager to gain valuable experience in the specialized field of cardiac anest ...
Dubai5 days ago
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Company Description · Topaz Detailing Dubai is an industry-leading detailing and paint protection film studio renowned for its enhancement and protection services for the world's greatest cars. Now established in Dubai, Topaz Detailing brings exceptional care and premium services ...
Dubai6 days ago
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SearchPlus HR is excited to announce an opening for a Junior Consultant in Cardiac Anesthesia at a reputable government facility. This entry-level position is perfect for newly qualified anesthesiologists eager to gain valuable experience in the specialized field of cardiac anest ...
Dubai Full time5 days ago
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The Gastrointestinal Surgeon will be responsible for diagnosing and surgically treating diseases and disorders affecting the digestive system, including the stomach, intestines, oesophagus, pancreas, liver, and other related organs. The role requires exceptional surgical skills, ...
Dubai4 days ago
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Assist in surgical procedures, with a focus on ophthalmology cases. · ...
Dubai, United Arab Emirates2 weeks ago
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The Gastrointestinal Surgeon will be responsible for diagnosing and surgically treating diseases and disorders affecting the digestive system. · ...
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Provide continuous 1:1 nursing care for an 80-year-old VIP client on international trips including private yacht travel. · ...
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Diagnose and treat ear nose and throat disorders using advanced diagnostic tools. · Perform surgical procedures such as endoscopic sinus surgery tonsillectomies reconstructive surgeries ensuring precision patient safety. · ...
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Diagnose and treat musculoskeletal conditions, perform surgical procedures, provide pre-operative and post-operative care. · ...
Dubai1 month ago
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A reputable private healthcare group is seeking an experienced Consultant Anaesthetist to provide high-quality anaesthesia services while contributing to clinical governance and patient safety across the organisation. · ...
Dubai3 weeks ago
Medical Pre-Auth - dubai - NMC
Description
DUTIES AND RESPONSIBILITIES-
Assistant Accountant
Only for registered members Dubai
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Medical Approval Doctor
Only for registered members Dubai
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Medical Case Coordinator
Only for registered members Dubai
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Approval Officer
NMC Group- Dubai, United Arab Emirates
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General Practitioner
Only for registered members Dubai
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Dental Nurse
Only for registered members Dubai
-
Medical Case Manager
Only for registered members Dubai, Dubai
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Dental g e Medical Centre Barsha South
Aster DM Healthcare- Dubai, United Arab Emirates
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Medical Coder
Only for registered members Dubai
-
Associate, Preauthorization
Only for registered members Dubai
-
Consultant Gastrointestinal
Careerlink HR- Dubai, United Arab Emirates
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Junior Consultant in Cardiac Anesthesia
Only for registered members Dubai
-
Pre-Cut PPF Installer Technician
Only for registered members Dubai
-
Junior Consultant in Cardiac Anesthesia
Full time Only for registered members Dubai
-
Gastrointestinal (GI) Surgeon Consultant
Only for registered members Dubai
-
Registered Nurse
Caliberly- Dubai, United Arab Emirates
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Gastrointestinal Surgeon Consultant
Only for registered members Dubai
-
VIP Yacht Nurse
Only for registered members Dubai
-
ENT Specialist
Only for registered members Dubai
-
Consultant Orthopedic Surgeon
Only for registered members Dubai
-
Consultant Anaesthetist
Only for registered members Dubai
