Pre-authorization Administrator - Patient Financial Services (Health Insurance)

We are HIRING!

(1x) Pre-authorization Administrator - Patient Financial Services (Health Insurance)

To join ASAP—3 months from start date

Salary: 7,300 QAR per month, full package

Must be under Family sponsorship if Female or Freelance (male/female) ONLY

To be assigned at Sidra Medicine, healthcare experience is preferred.

JOB SUMMARY

The Pre-authorization Administrator is a member of the Patient Financial Services Department. This position is responsible for reviewing and validating insurance eligibility, and coordination of prior authorization pre-certifications, authorization, coordination of benefits, and ongoing communications with insurance companies.

KEY ROLE ACCOUNTABILITIES

• Verifies accurate patient demographics & healthplan, confirms eligibility verification and member benefit coverage.
• Contacts health insurance Company to determine appropriate prior authorization process. Works closely with clinical teams to obtain and clarify documentation to demonstrate medical necessity when deemed necessary.
• Maintains a high level of understanding of health insurance companies, provider guidelines, and payer updates.
• Responsible for insurance verifications and accurate communications to various stakeholders regarding the insurance coverage.
• Follows up on and assists in rejections from health insurance companies and take any necessary follow up action.
• Serves as a liaison between health insurance companies, staff and patients to resolve any concerns and maintain a positive working relationship.
• Performs urgent requests in a timely manner and escalates issues to Line Manager as deemed necessary.
• Updates the system with any actions, comments or issues that is related to pre-authorization (conversations approvals, partial approval, denials or request of additional information, etc.)
• Maintains proper logs and documentation on assigned requests.
• Covers on-call shifts as per set monthly schedule and compliant with hospital policies and procedures.
• Participates in department meetings and departmental process improvement activities.
• Maintains confidentiality of all patients and medical/clinical information.
• Maintains working documents in accordance with internal record keeping standards.
• Maintains confidentiality at all times.
• Maintains a professional demeanor and upholds the organizational values at all times.
• Follows all Hospital related policies and procedures.
• Participates in professional development activities when applicable.
• Performs other related duties as assigned.

QUALIFICATIONS, EXPERIENCE, AND SKILLS

ESSENTIAL

• Bachelor’s Degree in Business, Commerce or other related field
• 2+ years’ experience in a related role in a healthcare facility or health insurance company

PREFERRED

• Formal revenue cycle, health insurance and/or patient billing training
• Experience in a large healthcare facility

SKILLS

• Demonstrated organizational and time management skills
• Demonstrated knowledge of medical insurance and coverage
• Demonstrated ability to understand medical terminology
• Demonstrated ability to be flexible and responsiveness to changing workloads
• Demonstrated skill in Customer Service and effective and tactful communications during stressful situations
• Excellent interpersonal and communications skills
• Proficiency with Microsoft Office suite
• Fluency in written and spoken English and Arabic

Please send your CV to: mdpoffice@mdproperties.com.qa

Deadline for submission: 30th September 2025

Job Types: Full-time, Permanent, Temporary
Contract length: 3 months

Pay: Up to QAR7,300.00 per month