Insurance Executive Job Vacancy in UAE Fujairah
Posted date [2025-01-07]
(ID: 33106)
Job Title: Insurance Executive
**Location:** Fujairah, UAE
**Job Type:** Full-time
**Salary:** AED 7,000 - AED 8,000 per month
**Job Summary:**
The primary purpose of this position is to manage the IP Approval claims process. You will assist in day-to-day approval functions for insured beneficiaries in accordance with the submission conditions outlined in the Standard Provider Contract signed with payers, ensuring alignment with hospital operations.
**Key Responsibilities:**
1. **Coordination and Networking:**
- Collaborate with insurance companies regarding approvals for both outpatient and inpatient eligibility payments and other requirements.
2. **Pre-Authorization Management:**
- Obtain pre-authorizations from insurance providers according to operational standards.
3. **Contractual Compliance:**
- Ensure accurate application of contractual prices, discount schedules, benefit allocations, deductible collections, co-payments, and adherence to policy limits.
4. **Claim Form Coordination:**
- Work closely with doctors, nursing staff, and ward teams to gather necessary claim forms.
5. **Approval for Medical Procedures:**
- Secure approvals for medical procedures and handle pre-approvals for radiology, dental, obstetrics, and other specialties.
6. **Query Management:**
- Address queries from doctors, insurance companies, and insured members related to claims processing, evaluation, and administration.
7. **Customer Service Excellence:**
- Deliver outstanding customer service to insurance companies and insured members to achieve maximum satisfaction.
8. **Additional Duties:**
- Perform other related tasks as assigned.
**Educational Requirements:**
- Bachelor’s Degree or Associate Degree in a related medical field.
**Required Experience:**
- Minimum of 3-5 years of experience in healthcare, preferably in the Northern Emirates.
- CPC or CCS certification is a plus.
- Relevant medical field experience and qualifications.
- Ability to manage the insurance department independently.
- Familiarity with the latest medical coding standards.
**Location:** Fujairah, UAE
**Job Type:** Full-time
**Salary:** AED 7,000 - AED 8,000 per month
**Job Summary:**
The primary purpose of this position is to manage the IP Approval claims process. You will assist in day-to-day approval functions for insured beneficiaries in accordance with the submission conditions outlined in the Standard Provider Contract signed with payers, ensuring alignment with hospital operations.
**Key Responsibilities:**
1. **Coordination and Networking:**
- Collaborate with insurance companies regarding approvals for both outpatient and inpatient eligibility payments and other requirements.
2. **Pre-Authorization Management:**
- Obtain pre-authorizations from insurance providers according to operational standards.
3. **Contractual Compliance:**
- Ensure accurate application of contractual prices, discount schedules, benefit allocations, deductible collections, co-payments, and adherence to policy limits.
4. **Claim Form Coordination:**
- Work closely with doctors, nursing staff, and ward teams to gather necessary claim forms.
5. **Approval for Medical Procedures:**
- Secure approvals for medical procedures and handle pre-approvals for radiology, dental, obstetrics, and other specialties.
6. **Query Management:**
- Address queries from doctors, insurance companies, and insured members related to claims processing, evaluation, and administration.
7. **Customer Service Excellence:**
- Deliver outstanding customer service to insurance companies and insured members to achieve maximum satisfaction.
8. **Additional Duties:**
- Perform other related tasks as assigned.
**Educational Requirements:**
- Bachelor’s Degree or Associate Degree in a related medical field.
**Required Experience:**
- Minimum of 3-5 years of experience in healthcare, preferably in the Northern Emirates.
- CPC or CCS certification is a plus.
- Relevant medical field experience and qualifications.
- Ability to manage the insurance department independently.
- Familiarity with the latest medical coding standards.
