Approval Officer

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An onsite, full time Approval Officer role at NMC Healthcare in Sharjah, managing insurance approvals for insured patients and serving as the liaison between NMCRHSHJ and Insurance Companies/TPAs. You will coordinate with clinicians and other staff to gather documentation, submit and resubmit claims, answer insurer queries, and track approvals, denials and timelines while keeping clinicians and patients informed of status. The role demands strong medical terminology knowledge, meticulous attention to detail, and the ability to multitask in a fast paced environment, plus accurate cost estimation and an active database of insurer communications. A bachelor’s degree is required, coding and claims processing skills are preferred, and AAPC or AHIMA certification is mandatory. To apply, tailor your resume to highlight hands on claims processing experience, insurer liaison success, confidentiality, customer service and collaboration with front desk and RCM teams, and include concrete examples of resolving queries quickly and accurately.

Manages insurance approvals for insured patients. Liaises between NMCRHSHJ and Insurance Companies.

•    Coordinates with clinicians and/or other clinical staff of different specialities for gathering relevant information/documentation for onward submission.

•    Liaises with Insurance Companies/TPAs for submitting, resubmitting and replying queries raised by Insurance Companies/TPAs efficiently.

•    Shows knowledge of medical terminologies and good command on pronouncing medical words.

•    Demonstrates strong attention to details and ability to multitask within the fast- paced, high-pressure work environment.

•    Able to manage filing and tracking approval/denials/queries and inform concerned clinicians and patients about the requested service(s) status.

•    Prepares cost estimation accurately as per the current agreed terms.

•    Responsible for maintaining an active database of the instructions/communication about Insurance Companies/TPAs from RCM Office.

•    Practices professional telephone etiquette and customer service while making claim inquires and quickly resolving any patient complaints and concerns.

•    Provides aid to Front Desk Staff regarding Insurance Protocols and Coverage.

•    Maintains strict confidentiality related to medical records and other data.
 

Bachelor’s degree from an accredited college / university. Coding and claims processing skills will be preferred.
Certification from AAPC / AHIMA is a must.