Approval Officer

NMC Healthcare
Sharjah, Dubai
Workplace: OnsiteFull timeFunction: Communications, PR & CommunityExperience: 2+ yearsEducation: bachelorsSkills: ["Communication"]

Verify customers’ insurance eligibility and manage pre-authorization requests to ensure approvals are obtained in a timely, accurate manner. Communicate payer authorization/eligibility details, send informational correspondence, complete service and procedure authorizations and referrals, and handle rejected pre-authorization by securing treating-physician justifications. Review medical history and coverage, guide proper coding to avoid rejection, update patient information in internal systems, and maintain approval monitoring and daily production reporting.

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FursaFursa
NMC Healthcare
NMC Healthcare
1 week ago

Approval Officer

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Source: Company careers pageValidated by: Fursa AI
Last checked: 1 hour agoStatus: Live

Job Summary

Verify customers’ insurance eligibility and manage pre-authorization requests to ensure approvals are obtained in a timely, accurate manner. Communicate payer authorization/eligibility details, send informational correspondence, complete service and procedure authorizations and referrals, and handle rejected pre-authorization by securing treating-physician justifications. Review medical history and coverage, guide proper coding to avoid rejection, update patient information in internal systems, and maintain approval monitoring and daily production reporting.
Location: Sharjah, Dubai
Workplace: Onsite
Employment Type: Full time
Job Function: Communications, PR & Community
Seniority: Mid level

Key Responsibilities

  • •Verify customers’ insurance eligibility and authorization accurately and on time.
  • •Communicate payer authorization and eligibility information; send payer informational correspondence.
  • •Complete service/procedure authorizations and referrals, including reviewing medical history and insurance coverage for approval.
  • •Handle rejected pre-authorization by obtaining treating-physician justification and resubmitting to the insurance company.
  • •Enter and update patient information in the system; maintain pending approval monitoring and daily production reporting.

Key Requirements

  • •College diploma in any discipline (or related fields).
  • •Proficiency in medical coding standards: ICD, CPT, DRG, HCPCS.
  • •2+ years’ experience in insurance claims management or pre-authorization (approval) processes.
  • •Handle rejected pre-authorization and obtain required justification from the treating doctor to resend for approval.
  • •Ensure pre-authorization request details align with regulators’ claim adjudication rules and business rules.
Experience:2+ yearsInsuranceHealthcareMedical codingPre-authorization
Education:Bachelor's in Any discipline or related fields
Skills:Communication
Tech Stack:ICDCPTDRGHCPCS

Company Brief

NMC Healthcare
Operates a large network of hospitals, medical centers, and specialty clinics across the UAE and the wider Middle East. Provides general and specialized healthcare services, diagnostics, and outpatient care for individuals and families.
Industry: Hospitals & Clinics
Company Size: Enterprise (1,001+ employees)
Growth: Established Company
Headquarters: Abu Dhabi, United Arab Emirates
Founded: 1975
WebsiteLinkedIn