Medical Authorisation Officer (UAEN Only) | Daman Insurance Jobs in UAE
Medical Authorisation Officer with a Degree in Medicine (UAE National Only)
Job: Full Time
Abu Dhabi, UAE
The National Health Insurance Company – Daman, is the UAE’s largest health insurance provider, and is headquartered in Abu Dhabi. H.E. Khaled Bin Shaiban Almehairi serves as Chairman of the National Health Insurance Company
- Evaluate medical necessity of requested service according to medical data provided and accurately code service description stated on the prior authorisation requests, based on accepted medical coding rules, medical guidelines and policy’s schedule of benefits
- Ensure that proper documentation of the data including business decisions are correctly done on the system with focus on accuracy and efficiency and quality
- Ensure that medical ethics are always applied and respected while performing duties
- Constantly work on improving TAT and relevant functional/personal competencies
- Report suspected cases of fraud and abuse by healthcare providers to respective Supervisor
- Ensure cases needing Case Management intervention are escalated based on communicated criteria
- Minimum 1 year of clinical experience
- Experience in any of the medical units of a health insurance company or third-party administrator (TPA) is a plus
- Certification in the medical coding systems is a plus
- Bachelor’s degree in medicine
For more details, please scroll down & see the details.
|Title||Medical Authorisation Officer (UAEN Only) | Daman Insurance Jobs in UAE|
|Hiring Organization||Daman Health Insurance|
|Job Location||Abu Dhabi, UAE|
|Employment Type||Full Time|
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*This Jobs was Originally Posted on Daman Jobs Site..