Medical Necessity Coordinator

2 days ago


Doha, Baladīyat ad Dawḩah, Qatar lxbfYeaa Full time

Job Summary

We are seeking an experienced Pre-Approval Specialist to join our team at lxbfYeaa.

The successful candidate will have 1-2 years of experience in pre-approval authorization services at a clinic or hospital facility, along with proficiency in ICD 10 AM/CM and basic knowledge of medical terminologies.

As a key member of our team, you will be responsible for reviewing and processing pre-authorization requests, collaborating with supervisors or nurse managers to verify medical necessity, and ensuring accurate and complete information for claims.

Responsibilities

  • Reviews and processes pre-authorization requests.
  • Collaborates with supervisors or nurse managers to verify medical necessity.
  • Monitors and secures pre-approvals according to payer protocols.
  • Ensures accurate and complete information for claims.
  • Maintains proficiency in ICD 10 AM/CM and basic knowledge of medical terminologies.

Requirements

  • 1-2 years of experience in pre-approval authorization services.
  • Proficiency in ICD 10 AM/CM and basic knowledge of medical terminologies.
  • Effective communication skills.
  • Able to work flexible shifts.


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