Senior Medical Eligibility Analyst

2 weeks ago


Riyadh, Ar Riyāḑ, Saudi Arabia King Faisal Specialist Hospital and Research Centre Full time
Handles patients and staff with medical eligibility problems and issues; coordinates with other departments as necessary.

Essential Responsibilities and Duties:

  • Provides Assist to patients, employees, and other hospital staff regarding medical eligibility issues and cases.
  • Address inquiries and questions, offering guidance and clarification on eligibility-related matters.
  • Reviews and analyses various documents to determine the eligibility of patients and employees for medical services.
  • Reviews and forwards relevant information regarding discharged patients and eligible specialties to appropriate departments.
  • Evaluates eligibility criteria based on established guidelines, policies, and regulations.
  • Maintains accurate records and documentation of eligibility determinations.
  • Receives and processes persons/patients with referral letters.
  • Performs clinical responsibilities within related specialty such as (Nursing, Laboratory, Respiratory, Pharmacy, etc.) as assigned.
  • Processes Medical Treatment Exceptions for non-Saudi patients who have a Royal Order.
  • Coordinates with physicians regarding delayed medical information.
  • Submits periodic reports of activities.

Education:

Bachelor's Degree in Nursing is required.

Experience Required:

Four (4) years of related experience is required.

Other Requirements(Certificates):

  • Saudi Nationals Only.
  • Current license to practice as a Registered Nurse is required.


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