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approval officer

NMC Health plc

<div>2.1 Apply medical knowledge and best insurance practice while reviewing and verifying the Pre Approval requests (OP/ IP) received from different departments to obtain authorizations as required by insurance companies dependent upon the plan coverage for all Insurance patients. Ensure that the details of the Pre Authorization Requests are in line with the regulators&rsquo; standards especially the claim adjudication Rules and Business Rules.
 
2.2 Handling the rejected pre authorization and get required justification from the treating doctor to resend it to Insurance Company and obtain the approval.
 
2.3 Prepares reports of daily activity as requested for management and assists management in month end reporting as requested.</div>
 <div><ul><li>Evaluate Pre-Approval requests for medical necessity and accurately code service descriptions per medical coding rules, guidelines, and policy schedule of benefits.
</li><li>Respond to Insurance/TPA queries and liaise with relevant departments promptly.
</li><li>Receive, evaluate, and escalate second opinion cases and case management.
</li><li>Perform night shift duties and work on public holidays as per duty roster.
</li><li>Prepare daily activity reports for management and assist in monthly reporting.
</li><li>Handle auditing processes: arrange required documents, coordinate with coders, and assist external auditors.
</li><li>Attend meetings and presentations.
</li><li>Train front office, reception, and nursing staff on insurance updates.
</li><li>Prepare cost estimates for procedures for cash patients.
</li><li>Adjust duties in case of sudden or emergency unplanned leaves by colleagues.
</li><li>Manage and hand over pending cases to the next shift colleagues.
</li><li>Perform any other duties assigned by the HOD within the scope of the job.
</li><li>Comply with all OSH and infection control policies, standards, and procedures.
</li><li>Follow documented OSH procedures and specific responsibilities.
</li><li>Be familiar with emergency and evacuation procedures.
</li><li>Report OSH hazards, incidents, near misses, and assist in preparing risk assessments and incident reports.
</li><li>Comply with waste management procedures and policies.
</li><li>Attend OSH/infection control training, mock drills, and awareness programs.
</li><li>Use appropriate personal protective equipment (PPE) and safety systems.</li></ul></div>
 <div><ul><li>Bachelor&rsquo;s Degree in Medicine (MBBS) from a recognized university.
</li><li>Minimum 2 years of experience in Insurance Claims management/adjudication.
</li><li>Experience in Medical Coding: ICD, CPT, DRG, and HCPCS.
</li><li>Excellent command of written and spoken English.
</li><li>Flexible and able to work under pressure.
</li><li>Strong knowledge of Microsoft applications.</li></ul></div>

Approval Officer

<div>3.1 Evaluate the Pre Approval requests from medical necessity for the requested service according to the medical data provided and accurately code the service description codes stated on the prior authorization requests, according to accepted medical coding rules, medical guidelines and policy&rsquo;s schedule of benefits
 
3.2 Respond to Insurance/ TPA queries and liaise with concerned department without any delay.
 
3.3 Responsible for receiving, evaluating and escalating second opinion cases and case management
 
3.4 Perform night shift duty and on public holidays as per duty roster.3.5 Prepares reports of daily activity as 3.5 requested for management and assists management in monthly reports as
 
requested.
 
3.6 Handle Auditing Process. Arrange required documents and papers and check with coders in order to assist the
 
external Auditors
 
3.7 Attend Meetings and Presentation
 
3.8 Train Front office, Receptionist and Nurses and keep them updated about Insurance details.
 
3.9 Prepare cost estimate for procedures for Cash Patient
 
3.10 To adjust duties in case of any sudden/ emergency unplanned leaves by colleagues.
 
3.11 Managing and handling pending cases (if any) to the next shift colleagues.
 
3.12 Performs any other jobs or duties assigned by the HOD from time to time within the scope of job title.
 
3.13 Comply with all OSH and infection control policies, standards and procedures and cooperate with hospital
 
management to comply those requirements
 
3.14 Work accordance with the documented OSH procedures and instructions, specific responsibilities
 
3.15 Be familiar with emergency and evacuation procedures
 
3.16 Notifying OSH Hazards, incidents, Near misses and issues and assistance with the preparation of risk
 
assessments, incident reports
 
3.17 Comply with Waste management procedures and policies
 
3.18 Attend applicable OSH/Infection control training programs, mock drills and awareness programs
 
3.19 Use of appropriate personal protective equipment and safety systems</div>
 <div><ul><li>Evaluate pre-approval requests for medical necessity based on the provided medical data, and accurately code service descriptions according to accepted medical coding rules, medical guidelines, and the policy schedule of benefits.
</li><li>Respond to Insurance/TPA queries promptly and coordinate with the concerned departments without delay.
</li><li>Receive, evaluate, and escalate second-opinion cases and case management as required.
</li><li>Perform night-shift duties and work on public holidays as per the duty roster.
</li><li>Prepare daily activity reports as requested by management and assist with monthly reports.
</li><li>Handle the auditing process, arrange required documents, and coordinate with coders to support external auditors.
</li><li>Attend meetings and presentations as required.
</li><li>Train front office staff, receptionists, and nurses, and keep them updated on insurance details.
</li><li>Prepare cost estimates for procedures for cash patients.
</li><li>Adjust duties as needed during sudden or emergency unplanned colleague absences.
</li><li>Manage and hand over pending cases (if any) to colleagues for the next shift.
</li><li>Perform any other tasks assigned by the HOD that fall within the scope of the job title.
</li><li>Comply with all OSH and infection control policies, standards, and procedures, and cooperate with hospital management to meet these requirements.
</li><li>Work in accordance with documented OSH procedures and instructions specific to assigned responsibilities.
</li><li>Be familiar with emergency and evacuation procedures.
</li><li>Report OSH hazards, incidents, near-misses, and assist in preparing risk assessments and incident reports.
</li><li>Comply with waste-management procedures and policies.
</li><li>Attend applicable OSH/infection control training programs, mock drills, and awareness activities.
</li><li>Use appropriate personal protective equipment (PPE) and safety systems.</li></ul></div>
 <div><ul><li>Bachelor&rsquo;s degree in Medicine (MBBS) from a recognized university.
</li><li>Minimum 2 years of experience in insurance claims management/adjudication.
</li><li>Experience in medical coding (ICD, CPT, DRG, and HCPCS).
</li><li>Excellent command of oral and written English.
</li><li>Flexible and able to work under pressure.
</li><li>Strong knowledge of Microsoft applications.</li></ul></div>

Dr Firas Dental & Orthodontic Center

This role will be responsible for acting as the intermediary between patients and various insurance company for the dental services offered by the facility. This role will also be responsible for verifying patient health insurance benefits, communicating with patients, and processing insurance payments.A. Administration<ul><li>Document and update all services rendered to patient&rsquo;s file</li><li>Provide updated list of approved patients via Dok32 to reception and dentist to call and schedule appointments</li><li>Accurate communication to patients and dentist departments in regards to queries for insurance policy, coverage and limit</li><li>Create monthly reports for the Medical Director and Dental department such as: no. of approved cases, upcoming appointments, remaining appointments, and total cases rendered</li><li>Fill reimbursement forms if required for uncovered insurance policies holders</li></ul>B. Medical Insurance<ul><li>Ensure proper documentation of patient&rsquo;s file for any dental procedure that requires prior-approval request</li><li>Use implemented system to claim pre-approved cases upon completion of planning from treating dentist on a daily basis.</li><li>Follow the designated procedures to ensure approval of claims and prevent denied claims</li><li>Coordinate and inform treating dentist for any incorrect clinical note such as the diagnose, procedure code, tooth number and time of treatment.</li><li>Update the reception and dental department for approved claims in order to schedule appointments</li><li>Coordinate with cashier to ensure accurate and updated insurance card details before the patients meets the treating dentist</li><li>In cases for denied claims, conduct follow-ups with insurance companies and inquire for justification on denied claims</li><li>Re-submit denied claims upon reviewing denial code received from insurance companies</li><li>In cases of re-denied claims, consult with the treating dentist and the Chief Medical Officer for appropriate action</li><li>Update patient file for final denied claims and inform the treating dentist and patient accordingly</li><li>Bill daily rendered procedures and prepare submission to covered insurance companies and self-paid patients</li><li>Adhere to task given by the Chief Medical officer</li></ul>Qualifications:<ul><li>With at least 2 years of experience as an Insurance Coordinator in Dental field</li><li>Ability to work in a pressurized work environment</li><li>Knowledge in using Dental EMR is a plus</li></ul>Job Type: Full-time

Insurance Coordinator (Dental)

BEEAH Group

<div>
 
 About BEEAH
 
 
 BEEAH is pioneering sustainability and inspiring innovation to empower humanity&rsquo;s future. Through innovation, full-circle resource management, and digital transformation, BEEAH is addressing environmental challenges, deploying the latest technologies, and creating the roadmap for a smart and sustainable future. Renowned for groundbreaking environmental innovations and smart solutions, BEEAH operates across the United Arab Emirates, the Kingdom of Saudi Arabia, and Egypt, to create a better tomorrow for all.
 
 
 
 
 
 
 Job Description:
 
 
 
 
 
 
 We are currently seeking a highly motivated and organized
 
 Operation Support Officer
 
 to join our
 
 BEEAH Abu Dhabi
 
 team. This role is responsible for carrying out the administrative duties, providing administrative support and maintaining the operations data.
 
 
 
 
 
 
 Key Responsibilities:
 
 
 <ul>
 <li>
 Ensure Vehicle availability for executing the Waste Collection and related activities.
 </li>
 <li>
 Create and maintain the documentation and take care of the arrangements required for
 </li>
 <li>
 permits to work, clean, and collect waste.
 </li>
 <li>
 Prepare the Monthly Manpower list, as per the work plan and provide to Coordinators at the beginning of the month.
 </li>
 <li>
 Prepare &amp; upload the overtime planning data at the beginning of each month.
 </li>
 <li>
 Upload actual overtime data to the OT portal at the end of each month.
 </li>
 <li>
 Submit the OT data (both plan and actual) to the HR department for validation and records.
 </li>
 <li>
 Maintain the daily attendance of the entire operations team and ensure current and past data are available all the time in records.
 </li>
 <li>
 Maintain the shift Schedules of operations employees in the attendance system.
 </li>
 <li>
 Submit the Monthly attendance to the HR department for payroll processing, after obtaining necessary approvals.
 </li>
 <li>
 Create purchase requests (PR) and service requests for materials and services required for operations and create goods received notes (GRN) after receiving the requested items, in SAP.
 </li>
 <li>
 Prepare the Leave Request, Passport release, Rejoining, Resignation, and Clearance form etc. for Labours, Team Leaders &amp; Drivers etc. and submit to HR after approval from the Operations Manager.
 </li>
 <li>
 Maintain employee master data for all operation staff and update employee movement on daily basis (New Joiner, Resignation, Termination etc.)
 </li>
 <li>
 Prepare disciplinary action request forms and submit them to HR after approval of Operations Manager.
 </li>
 <li>
 Coordinate and ensure timely completion of the performance evaluation process of all workmen working under the operations department.
 </li>
 <li>
 Schedule and arrange for meetings as advised by the Operations Manager and Prepare Minutes of Meetings.
 </li>
 <li>
 Preparing daily/weekly/monthly reports related to operations as required by the Operations Manager.
 </li>
 <li>
 Preparing the operations related reports for submission as advised by the Operations Manager.
 </li>
 <li>
 Maintaining and archiving files related to Operations.
 </li>
 <li>
 Receive the Traffic fines &amp; accident deductions data from the Fleet team and submit it to HR/Finance.
 </li>
 <li>
 Assisting the operations supervisors in Attendance &amp; leave Management in the attendance system &amp; SAP.
 </li>
 <li>
 Assist the Operations Manager in other administrative duties as and when necessary.
 </li>
 </ul>
 
 
 
 
 
 Qualifications and Experience:
 
 
 <ul>
 <li>
 Bachelor&rsquo;s Degree / Diploma in any discipline
 </li>
 <li>
 Certification / Diploma in office administration will be an added advantage. 1 &ndash; 3 years of experience as Administrator / Document controller / Secretarial role.
 </li>
 <li>
 Waste Management / Facilities Management Industry experience will be an added advantage.
 </li>
 </ul>
 
 
 
 
 
 Skills:
 
 
 <ul>
 <li>
 Intermediate Verbal and written Communication skills in English.
 </li>
 <li>
 MS-Office (Word, Excel &amp; PPT).
 </li>
 <li>
 SAP (Procurement, Finance Module).
 </li>
 <li>
 Good oral and written Communication skills in English.
 </li>
 <li>
 Knowledge of Arabic will be a plus.
 </li>
 <li>
 Knowledge of Hindi / Urdu will be a plus.
 </li>
 <li>
 Administrative Skills.
 </li>
 <li>
 Archiving of documents.
 </li>
 <li>
 Willingness to interact with workers &amp; drivers.
 </li>
 </ul>
 
 
</div>

Operations Support Officer

Asteco

<div>
 
 
 Position Summary
 
 
 
 The Logistics Officer is responsible for the daily operation, maintenance, and safety of Al Dar Estate Office and other associated sites. The role includes managing vendors, supporting staff relocations, handling preventive maintenance, and ensuring compliance with health, safety. The position also covers contract management for MEP services, minor renovations, and procurement of furniture and office equipment in coordination with the Procurement team.
 
 
 
 
 
 
 Key Responsibilities
 
 
 
 
 1. Safety and Emergency Preparedness
 
 
 <ul>
 <li>
 Inspect fire extinguishers, safety signs, and first aid kits to ensure they are working and accessible.
 </li>
 <li>
 Ensure emergency exits are clear, well-lit, and have proper signage.
 </li>
 <li>
 Check fire safety systems (alarms, sprinklers, extinguishers, and panels) for proper function.
 </li>
 </ul>
 
 
 2. Facility Systems Maintenance
 
 
 <ul>
 <li>
 Oversee HVAC systems to ensure a comfortable working environment.
 </li>
 <li>
 Conduct basic checks on electrical, plumbing, and water systems to identify issues.
 </li>
 <li>
 Verify security systems (CCTV, access control) are operational and secure.
 </li>
 </ul>
 
 
 3. General Facility Upkeep
 
 
 <ul>
 <li>
 Maintain cleanliness across offices, restrooms, and common areas.
 </li>
 <li>
 Coordinate pest control and ensure preventive measures are followed.
 </li>
 </ul>
 
 
 4. Staff Support and Space Management
 
 
 <ul>
 <li>
 Coordinate staff relocations within the Al Dar Estate office as per management approval.
 </li>
 <li>
 Update and maintain seat allocation and occupancy plans.
 </li>
 <li>
 Address staff requests and complaints promptly and professionally.
 </li>
 </ul>
 
 
 5. Vendor and Contractor Management
 
 
 <ul>
 <li>
 Follow up with contractors on daily tasks to ensure timely completion.
 </li>
 <li>
 Coordinate and monitor Planned Preventive Maintenance (PPM) for MEP and Fire Life Safety systems.
 </li>
 <li>
 Review vendor performance and report findings to management.
 </li>
 <li>
 Raise PRs and LPOs in coordination with Finance and Procurement.
 </li>
 </ul>
 
 
 6. Financial and Administrative Responsibilities
 
 
 <ul>
 <li>
 Manage petty cash for urgent expenses and coordinate with Finance for replenishment.
 </li>
 <li>
 Ensure all petty cash use is supported by proper documentation and approvals.
 </li>
 </ul>
 
 
 7. Team and Operational Support
 
 
 <ul>
 <li>
 Supervise office assistants and cleaners to ensure quality standards are maintained.
 </li>
 <li>
 Provide backup support during staff leave and handle daily facility-related requests.
 </li>
 <li>
 Respond to all FM issues to maintain smooth operations.
 </li>
 </ul>
 
 
 
 
 
 Skills and Competencies
 
 
 <ul>
 <li>
 Good knowledge of Facilities and Office Management operations.
 </li>
 <li>
 Strong communication, coordination, and multitasking skills.
 </li>
 <li>
 Understanding of
 
 HSE standards
 
 .
 </li>
 <li>
 Proficient in MS Office and familiar with ERP or CAFM systems (SAP preferred).
 </li>
 <li>
 Problem-solving and time management skills.
 </li>
 </ul>
 
 
 
 
 
 Qualifications
 
 
 <ul>
 <li>
 
 Minimum 3&ndash;5 years
 
 of experience in Facilities or Office Management.
 </li>
 <li>
 Experience in
 
 vendor coordination
 
 and
 
 maintenance planning
 
 preferred.
 </li>
 </ul>
</div>

Logistics - Facility Management Officer

Euro Gulf Safety Consultant

Job Title: ADNOC Approved Safety OfficerLocation: Abu DhabiJob Description: We are seeking an experienced ADNOC Approved Safety Officer to join our client&rsquo;s project team. The candidate will be responsible for implementing and monitoring HSE procedures, ensuring compliance with ADNOC standards, and promoting a safe working environment on-site.Requirements:<ul><li>ADNOC-approved Safety Officer certification (valid).</li><li>Minimum 2 to 3 years of experience within the UAE.</li><li>Strong knowledge of UAE HSE regulations and ADNOC safety protocols.</li><li>NEBOSH International General Certificate (IGC) is mandatory.</li><li>Looking for immediate joiners.</li><li>Share CV to marketingdxb@egsc.ae</li></ul>Job Type: Full-timeApplication Question(s):<ul><li>What is your current visa status?</li><li>Are you ADNOC Approved?</li><li>Are you ready to join within a week ?</li></ul>

HSE OFFICER - ADNOC APPROVED

Huff & Puff Burger Restaurant

Job Title: Purchasing Officer (Procurement Officer)Job Type : Full TimeJob Location: Head Office Abu Dhabi.Job Summary:We are seeking a detail-oriented and F&amp;B experienced Purchase Officer to manage our procurement activities. The successful candidate will be responsible for sourcing goods and services, managing vendor relationships, and ensuring cost-effective purchasing processes. He / She will be responsible in assisting the branches&rsquo; supervisors in acquiring products that are essential for our company&rsquo;s day-to-day operations.Key Responsibilities&middot; Develop and implement purchasing strategies.&middot; Establish and maintain relationships with suppliers and vendors.&middot; Negotiate contracts, terms, and pricing with suppliers.&middot; Monitor and forecast upcoming levels of demand.&middot; Conduct market research to identify new suppliers and trends.&middot; Evaluate and select suppliers based on criteria such as price, quality, and delivery speed.&middot; Prepare and process purchase orders and documents in accordance with company policies and procedures.&middot; Day-to-day activities include issuing purchased orders within the specified timeline.&middot; Maintain records of items ordered and received.&middot; Maintain the same quality and the value of the products ordered.&middot; Maintain accurate records of purchases, pricing, and other important data.Qualifications:o Proven experience as a Purchase Officer role in Food &amp; Beverage industry.o Excellent negotiation and communication skills.o Proficiency in using procurement software and MS Office applications.o Strong organizational and time-management skills.o Ability to analyze market trends and supplier performance.How to Apply:Please submit your resume and cover letter tohr.manager@huffpuffburger.comThank you for your interest in our company.Job Type: Full-time

Purchasing Officer

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236 approval officer jobs IN Arabic Jobs In Arabic Jobs In Abu Dhabi United Arab Emirates

Approval Officer

Approval Officer

Insurance Coordinator (Dental)

Operations Support Officer

Logistics - Facility Management Officer

HSE OFFICER - ADNOC APPROVED

Purchasing Officer