Pharmacy Approval Officer
Abu Dhabi, United Arab Emirates
Job Description
Job Category: Administration
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A Pharmacy Approval Officer plays a crucial role in ensuring that pharmaceutical services align with healthcare regulations and insurance requirements. This position involves a combination of administrative duties, regulatory compliance, and coordination with healthcare providers and insurance companies.xe2x80x8b
Responsibilities:
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A Pharmacy Approval Officer plays a crucial role in ensuring that pharmaceutical services align with healthcare regulations and insurance requirements. This position involves a combination of administrative duties, regulatory compliance, and coordination with healthcare providers and insurance companies.xe2x80x8b
Responsibilities:
- Pre-Authorization Management: Review and verify pre-authorization requests for outpatient and inpatient services, ensuring they meet insurance policies and regulatory standards.
- Handling Rejected Requests: Address rejected pre-authorization cases by obtaining necessary justifications from treating physicians and resubmitting to insurance companies.
- Medical Coding and Documentation: Accurately code service descriptions based on medical data and ensure proper documentation for insurance claims.
- Communication and Coordination: Liaise with doctors, insurance companies, and other departments to facilitate the approval process and resolve any queries.
- Reporting and Compliance: Prepare daily activity reports and assist in month-end reporting to management, ensuring adherence to regulatory standards
- Educational Background: Bachelor's degree in Pharmacy, Medicine, or a related medical field.xe2x80x8b
- Experience: Minimum of 2 years in medical approvals, insurance coordination, or a similar role within the UAE healthcare sector.
- Certifications: Medical coding certification is often preferred.xe2x80x8b
- Skills: Strong understanding of insurance policies, excellent communication skills, attention to detail, and proficiency in medical terminology and coding.xe2x80x8b
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Job Detail
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Job IdJD1865670
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IndustryNot mentioned
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Total Positions1
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Job Type:Full Time
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Salary:Not mentioned
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Employment StatusPermanent
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Job LocationAbu Dhabi, United Arab Emirates
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EducationNot mentioned