Locum Assistant Medical Officer

Role Overview

Locum Assistant Medical Officer at American Hospital Dubai, responsible for managing insurance coordination and claims processing across the hospital's direct billing arrangements.

Role Purpose

Assist the Medical Advisor and Medical Officer by managing all insurance-related issues, coordinating prior authorization, conducting claims analysis, and liaising with staff and insurance companies to ensure compliance with agreed formalities and minimize delays in insurance clarifications and claim settlements.

Key Responsibilities

Insurance Coordination

• Coordinate with stakeholders to ensure all formalities agreed with insurance companies are followed to minimize objections and delays in clarifications to insurance companies.
• Partner with Patient Relations, Nursing, Physicians, and Finance to support insurance compliance requirements.

Prior Authorization & Claims Monitoring

• Monitor and follow up on prior authorization for outpatient services and all inpatient services.
• Conduct claims analysis before submission to insurance companies by Finance.

Claims Reconciliation

• Reconcile claims paid and outstanding with insurance companies and coordinate with Finance.

Operational Knowledge & Problem-Solving

• Demonstrate functional and business knowledge required for the job and apply that in following the requirements of Insurance Companies in the Hospital.
• Identify and analyse problems, take action to resolve them, apply sound judgment, and take responsibility for their resolution.

Department & Organizational Support

• Anticipate and set priorities to support department needs and follow policies and procedures for achieving them.
• Support the Hospital Policies and Procedures.
• Support the Department Policies and Procedures.

Qualifications & Experience

• Bachelor's Degree in any field (Medical preferred).
• Minimum of three years of professional experience in a similar field.

Skills & Competencies

• Excellent English verbal and written communication skills.
• Computer literacy (essential).
• Very good understanding of hospital operations.
• Intermediate to Advanced Microsoft Office proficiency.
• Strong leadership experience.
• Excellent relationship management.
• Organised and thorough approach.
• Excellent analytical and organisational skills.

Additional Information

• Contract type: Locum.