Specialist - Authorization (Tawam Fertility Center)

SEHA (Abu Dhabi Health Services)
Al Ain
Workplace: OnsiteFull timeFunction: OtherEducation: bachelorsSkills: []

Serve as the primary contact for prior authorization requirements across SEHA business entities. Manage the prior authorization process by collecting clinical information, contacting payers to obtain benefits/eligibility/authorization details, and updating systems with accurate data. Coordinate with service line partners when rescheduling is needed due to authorization/benefits gaps, and provide standardized documentation and monitoring of medical necessity and appropriateness to support timely patient account processing.

Loading

Loading job details...

Preparing the role view and application actions.

FursaFursa
SEHA (Abu Dhabi Health Services)
SEHA (Abu Dhabi Health Services)
22 hours ago

Specialist - Authorization (Tawam Fertility Center)

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI
Last checked: 13 hours agoStatus: Live

Job Summary

Serve as the primary contact for prior authorization requirements across SEHA business entities. Manage the prior authorization process by collecting clinical information, contacting payers to obtain benefits/eligibility/authorization details, and updating systems with accurate data. Coordinate with service line partners when rescheduling is needed due to authorization/benefits gaps, and provide standardized documentation and monitoring of medical necessity and appropriateness to support timely patient account processing.
Location: Al Ain
Workplace: Onsite
Employment Type: Full time
Seniority: Mid level

Key Responsibilities

  • •Act as the primary contact and resource for SEHA prior authorization process and requirements.
  • •Collect clinical information and initiate pre-authorization requests to payers for approved claims.
  • •Contact insurance companies by phone, fax, or online portal to obtain benefits, eligibility, and authorization information.
  • •Monitor appropriateness and medical necessity, and provide needed information for authorization and continued visits.
  • •Ensure benefits, authorizations, pre-certifications, and financial obligations are accurately documented on account memos; respond to pre-access issues within defined time frames.

Key Requirements

  • •12 years of Revenue Cycle Experience in lieu of degree.
  • •Healthcare certification (CRCR and/or CHAM).
  • •Extensive knowledge of healthcare revenue cycle systems.
  • •Minimum 0-2 years of medical insurance verification and authorization experience.
  • •Experience with CPT, ICD-10, HCPCS, and similar coding/guidelines; knowledge of ICD-10 and CPT-4.
Experience:Healthcare
Education:Bachelor's
Certifications:CRCRCHAM
Tech Stack:Microsoft OfficeOutlook

Company Brief

SEHA (Abu Dhabi Health Services)
SEHA (Abu Dhabi Health Services Company) is the UAE’s largest public healthcare network, operating hospitals, clinics and specialist centres across Abu Dhabi to deliver integrated, patient‑centred medical services and advanced clinical care.
Industry: Hospitals & Clinics
Company Size: Enterprise (1,001+ employees)
Growth: Public Company
Headquarters: Abu Dhabi, United Arab Emirates
Founded: 2007
Glassdoor
Glassdoor: 3.8
WebsiteLinkedInGlassdoor