- Al Ain, Abu Dhabi, United Arab Emirates
- 10+ years
Responsible for initiating and managing pre-authorization requests for medical claims, ensuring compliance with payer requirements and maintaining accurate documentation.
Responsibilities
- Initiate pre-authorization requests to payers
- Communicate with payers, patients, physician offices, and hospital staff
- Pre-certify procedures ordered by physicians
- Monitor appropriateness and medical necessity
- Provide necessary information for authorization and continued visits
Requirements
- 10 years of Revenue Cycle Experience in lieu of degree
- Healthcare Certification (CRCR and/or CHAM)
- Nice to have: Billing and Coding Experience