Emirati Pre-Approval Officer, Dubai Festival City – Al Futtaim Group

Key Responsibilities

• Review and process assigned claim forms to ensure completeness and accuracy.
• Update approvals received from insurers with 100% accuracy.
• Collaborate with clinical and admin teams to obtain missing documents and clarifications.
• Meet daily claims verification productivity and quality targets.
• Perform quantitative and qualitative analysis of medical records; ensure compliance with coding guidelines, DHA and payer regulations.
• Submit pre‑approvals aligned to KPIs, improving first‑round approval rates.
• Monitor stakeholder coordination to prevent revenue loss and address insurance rejections.
• Analyze denial trends and implement corrective actions; maintain accurate records and escalate denied approvals when needed.
• Educate and partner with billing, approval, and clinical documentation teams to enhance process flow and compliance.

Job Details

Preferred Candidate

Suite de l’annonce…