Approval Officer - Sharjah, United Arab Emirates - NMC Group

    NMC Group
    NMC Group Sharjah, United Arab Emirates

    1 week ago

    Description
    Description

    Manages insurance approvals for insured patients. Liaises between NMCRHSHJ and Insurance Companies.

    Responsibilities


    •    Coordinates with clinicians and/or other clinical staff of different specialities for gathering relevant information/documentation for onward submission.


    •    Liaises with Insurance Companies/TPAs for submitting, resubmitting and replying queries raised by Insurance Companies/TPAs efficiently.


    •    Shows knowledge of medical terminologies and good command on pronouncing medical words.


    •    Demonstrates strong attention to details and ability to multitask within the fast- paced, high-pressure work environment.


    •    Able to manage filing and tracking approval/denials/queries and inform concerned clinicians and patients about the requested service(s) status.


    •    Prepares cost estimation accurately as per the current agreed terms.


    •    Responsible for maintaining an active database of the instructions/communication about Insurance Companies/TPAs from RCM Office.


    •    Practices professional telephone etiquette and customer service while making claim inquires and quickly resolving any patient complaints and concerns.


    •    Provides aid to Front Desk Staff regarding Insurance Protocols and Coverage.


    •    Maintains strict confidentiality related to medical records and other data.
     

    Qualifications

    Bachelor's degree from an accredited college / university. Coding and claims processing skills will be preferred.
    Certification from AAPC / AHIMA is a must.
     


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