Job Description
The Administration Assistant - Medical Benefits will work within the Medical Benefits pre-approval team and will be responsible for the provision of accurate approval authorisations and guidance to contracted Emirates medical providers. The role holder will manage emergency telephone approvals and be responsible for confirming cover based on an individual’s medical history, medical reports and treatment plan.
Duties and Responsibilities
Your main responsibilities in this role include the following:
Undertake preliminary approval analysis, establishing diagnosis, benefit, treatment and network details
Respond and communicate effectively to system pre-approvals where allocated
Ensure accuracy of all communication whether verbal or in writing whilst maintaining agreed levels of service and correct reference to policy
Administer approvals against published SLA and in line with appropriate medical guidelines and published protocols
Review treatment costs and escalate medical overserving scenarios for manager review
Guide contracted providers in line with the published Standard Operating Procedure between Emirates and contracted medical providers
Job Requirements
Educated to Bachelors level in a relevant medical field (nursing, pharmacy)
Minimum of 3 years work experience in a medical insurance field preferable gained in a pre-approval role.
Clinical medical experience is an advantage
Computer literate, Proficiency in the MS Office Suite of Software. (Excel/Word/Power Point)
Proficiency in written and spoken English.
Job Details
Company/Organization: Emirates
Employment Type: Full-time
Job Location: Dubai, United Arab Emirates
