Medical Claims Officer (Pre-Authorization Officer)

Overview

M42 is an Abu Dhabi-based, global tech-enabled health company. It combines G42 Healthcare’s unique medical and data-centric technologies with Mubadala Health’s world-class patient services and state-of-the-art facilities to provide the highest level of personalized, precise, and preventative care.

Facility Overview:

Mubadala Health Dubai in Jumeirah provides multidisciplinary medical, pediatric, and surgical specialties. Our state-of-the-art facility houses 96 consultation rooms, 5 operating rooms, and 2 endoscopy suites, as well as an in-house laboratory, in-house pharmacy, a radiology department, dedicated rehabilitation gyms, and dedicated procedure rooms, all of which offer a full continuum of care to our patients as they navigate through their healthcare journey.

Role Overview:

The Officer, Pre-Authorization, ensures timely and accurate submission of pre-authorization requests, supporting efficient patient care.

Responsibilities

• Stay updated on medical codes and regulatory standards.
• Ensure accurate and timely submission of pre-authorization requests.
• Verify request accuracy, including required documents and patient information.
• Coordinate with clinical teams to clarify procedures and diagnoses.
• Track and follow up on prior authorization requests proactively.
• Communicate with insurance companies, clinicians, and patients as needed.
• Document and maintain authorization details in the hospital system.
• Comply with health, safety, and infection control regulations.
  
  

Qualifications

Education: Healthcare professional with Bachelor degree or graduate with an accredited Diploma course from a related healthcare field

Experience: 2 years of relevant experience in a similar role

Certificate and Licensure: Regularly updated Certificate in Coding from accredited institutions