Medical Review
1 week ago
We are looking for a " Medical review (physician) "
to join one of the biggest companies Supportive "Healthcare And Health Insurance" in Saudi Arabia
:
The location work in (Riyadh)
What Will You Do:
- Evaluating medical records
- Interpreting medical data
- Making diagnoses Based on the review of medical records and data
- Providing expert opinions" In some cases"
- Review and audit the claims medically to reduce claims rejections due to medical reasoning
- Prepare reports on the medical errors found on the claims.
- Discuss &train physicians on medical rejections and proper documentation.
What are the requirements and qualifications required for the job:
- Bachelor's Degree in Medicine, Any additional certifications related to the role will be an added advantage.
- At least 2 years of experience in medical claims auditing with a provider or with payer/ TPA in the KSA is essential.
- Good knowledge of insurance protocols and regulatory guidelines.
- Knowledge of ICD, CPTs, ACHI, and DRG codes
- Should have good IT skills.
- Excellent in English
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