Medical Review

1 week ago


Riyadh, Ar Riyāḑ, Saudi Arabia Sawaid Full time

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

  • Medical Advisor

    1 week ago


    Riyadh, Ar Riyāḑ, Saudi Arabia Intelligent Solutions HR Consultancy Full time

    General Overview:Our client, a large Multinational Insurance Company are looking to hire a Medical Advisor to join their team in Riyadh, KSA.Responsibilities and Duties: Part of a clinical team that provides medical management services to customers in KSA. Handles most complex cases with full autonomy for decisionmaking while identifying and resolving...


  • Riyadh, Ar Riyāḑ, Saudi Arabia Magrabi Hospitals Full time

    Job SummaryMedical coding specialists are responsible for correctly coding healthcare claims in order to obtain reimbursement from insurance companies. Obtain accurate reimbursement for healthcare claims. Utilize specialized medical classification software to assign procedure and diagnosis codes for insurance billing. Review claims data to ensure that...


  • Riyadh, Ar Riyāḑ, Saudi Arabia Magrabi Hospitals Full time

    Job SummaryMedical coding specialists are responsible for correctly coding healthcare claims in order to obtain reimbursement from insurance companies. Obtain accurate reimbursement for healthcare claims. Utilize specialized medical classification software to assign procedure and diagnosis codes for insurance billing. Review claims data to ensure that...

  • Medical Advisor

    1 week ago


    Riyadh, Ar Riyāḑ, Saudi Arabia Cigna Full time

    JOB PURPOSERESPONSIBILITIES AND DUTIESPart of a clinical team that provides medical management services to customers in KSA.Handles most complex cases with full autonomy for decision making while identifying and resolving barriers that hinder effective patient care. Recognized internally as "the go-to person" for the most complex Health Services assignments...

  • Medical Manager

    1 week ago


    Riyadh, Ar Riyāḑ, Saudi Arabia Pfizer Full time

    MAIN REPONSIBILITIES / DUTIES As a customerfacing medical function, the Medical Manager utilizes the medical resources and expertise to develop and enhance KOL management across Saudi Arabia. He/she should provide the best use of information, research results and medical updates to customers and internal stakeholders to ensure Pfizer activities are...


  • Riyadh, Ar Riyāḑ, Saudi Arabia ADDAR GROUP Full time

    Looking for a Medical Board Consultant for a top Insurance Domain Client in Riyadh. Manage relationships with Medical Providers including negotiating discounts, reviewing price lists, handling reconciliations, and conducting regular visits; Review prior-approval requests, negotiate with providers, approve cases, and input claims into GIG Insurance E.C. IT...


  • Riyadh, Ar Riyāḑ, Saudi Arabia SNC-Lavalin Full time

    The Director of Medical Services will be responsible for overseeing the daily operations of healthcare delivery to THE LINE workforce. Their duties will include reviewing and ensuring compliance to NEOM healthcare regulations and requirements to implement in daily practices, monitoring of support facilities, clinic and department practices and developing...

  • Medical Manager

    1 week ago


    Riyadh, Ar Riyāḑ, Saudi Arabia Pfizer Full time

    MAIN REPONSIBILITIES / DUTIES As a customerfacing medical function, the RD Medical Manager will have 80% of his time in the Field. The RD Medical Manager Provide education on the clinical impact of Pfizer medicinal products to help inform customer decisionmaking and improve patient outcomes through the communication of realworld data and scientific evidence....

  • Medical Director

    1 week ago


    Riyadh, Ar Riyāḑ, Saudi Arabia Lilly Full time

    At Lilly, we unite caring with discovery to make life better for people around the world. We are a global healthcare leader headquartered in Indianapolis, Indiana. Our employees around the world work to discover and bring life-changing medicines to those who need them, improve the understanding and management of disease, and give back to our communities...

  • Medical Monitor

    1 week ago


    Riyadh, Ar Riyāḑ, Saudi Arabia Ray Full time

    #RAY one of the leading contract research organizations in Egypt and the Middle East is looking for a #Medical_MonitorJob_Responsiblities Advise clients, project teams, sites, data safety monitoring boards, regulatory agencies and thirdparty vendors on medical matters Collaborate with internal departments in the preparation of clinical development plans,...


  • Riyadh, Ar Riyāḑ, Saudi Arabia Intelligent Solutions HR Consultancy Full time

    General Overview:Key Responsibilities: Lead the clinic's Operations including medical, nursing, patient experience, and quality. Oversee business growth and positive patient experience. Manage the overall operations of the clinic, including budgeting, hiring, scheduling, and completing contracts. Monitoring medical administration, patient's outcomes, and...


  • Riyadh, Ar Riyāḑ, Saudi Arabia Asterix Communications Full time

    Job Summary Medical coding specialists are responsible for correctly coding healthcare claims in order to obtain reimbursement from insurance companies. Obtain accurate reimbursement for healthcare claims. Utilize specialized medical classification software to assign procedure and diagnosis codes for insurance billing. Review claims data to ensure that...


  • Riyadh, Ar Riyāḑ, Saudi Arabia King Faisal Specialist Hospital and Research Centre Full time

    Oversees the Medical Records Services to meet accrediting and research standards. Develops and administers budget. Coordinates the release of confidential medical information to authorized person and agencies. Implements teaching programs for staff development, both inside and outside the department. Acts as resource member to other areas in medical records...


  • Riyadh, Ar Riyāḑ, Saudi Arabia Vertex Pharmaceuticals Full time

    Job DescriptionHelp Us Achieve Our MissionVertex is a global biotechnology company that invests in scientific innovation to create transformative medicines for people with serious diseases. We bring together the brightest minds, investing in science and taking smart risks, we go all in. For the lives we have changed and for those who are still waiting, we...


  • Riyadh, Ar Riyāḑ, Saudi Arabia King Faisal Specialist Hospital and Research Centre Full time

    Assists patients and staff with medical eligibility problems and issues; coordinates with other departments as necessary.Essential Responsibilities and Duties:Receives and assists patients, employees and other hospital staff with questions regarding medical eligibility issues/cases; coordinates with other departments in resolving problems.Analyses documents...


  • Riyadh, Ar Riyāḑ, Saudi Arabia General Medicines Full time

    Job title: Medical Portfolio LeadLocation: Riyadh or DubaiJob type: Permanent, Full timeAbout the jobMain responsibilities:To provide scientific, medical and technical expertise and to elaborate the Portfolio Medical strategy plan in order to effectively assist in the development of existing and new business opportunities in full alignment with Company...


  • 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...


  • Riyadh, Ar Riyāḑ, Saudi Arabia AstraZeneca Full time

    Job Title:Medical Science Liaison - Tezspire**Job Description / CapsuleField‐based position responsible for implementation of activities for establishment of scientific leadership of AstraZeneca. This includes development and enhancement of professional relationships with healthcare professionals, building deep scientific understanding of AstraZeneca...


  • Riyadh, Ar Riyāḑ, Saudi Arabia IPSEN Full time

    Title:Medical Science LiaisonCompany:Ipsen Pharma (SAS)Purpose of the positionAs part of the Medical Affairs department, the MSL is a field-based scientific expert to external and internal stakeholders focused on non-promotional information exchange, supporting data dissemination and gathering medical insights to provide patient-centric solutions. The MSL...


  • Riyadh, Ar Riyāḑ, Saudi Arabia King Faisal Specialist Hospital and Research Centre Full time

    Performs assistance on assigned medical records functions quickly and accurately, works in various shifts as assigned in order to meet the Hospital operational needs.Essential Responsibilities and Duties:Assists in filing medical records in terminal digit order and loose sheet documents in correct patient's record and volume, and creating folders for new...