Medical Claims Officer

We are seeking a Medical Insurance Claims Specialist to join Medical centers in Al Khobar. This role is responsible for processing and evaluating medical insurance claims, verifying patient insurance coverage, and liaising with insurance companies to ensure smooth claim approvals.The ideal candidate will have experience handling medical approvals and...

Key ResponsibilitiesProcess outpatient claims daily in adherence to medical policies and guidelines.Review claims data (physical and electronic) to ensure accuracy and compliance with operational checklists.Maintain accuracy rate in quality audits and meet daily processing targets.Identify unusual provider patterns and escalate potential fraud to the...

Medical centers Al Khobar, Eastern, Saudi ArabiaWe are seeking a Medical Insurance Officer to join our team in Al Khobar. This role is open to Saudi nationals only and is responsible for processing and evaluating medical insurance claims, verifying patient insurance coverage, and liaising with insurance companies to ensure smooth claim approvals. The ideal...

Job Summary:We are seeking a seasoned Medical Claims Director to join our team at Nextcare. As a key member of our leadership team, you will be responsible for overseeing the daily operations of our Medical Claims Department.About the Role:Serve as the acknowledged expert and information source for staff, providing guidance on medical guidelines, practices,...

About Us:At Nextcare, we strive to deliver exceptional patient care and service. Our commitment to quality and innovation has earned us a reputation as a leader in the healthcare industry.Job Overview:This role plays a critical part in ensuring the smooth operation of our Medical Claims Department. As Medical Claims Manager, you will be responsible for...

Summary:Medical Claims Manager is responsible for supervising the daily work of the Medical Claims Department in providing quality service to clients, promptly and effectively according to operations set standards, TAT, and SLA. The position requires the ability to independently plan, schedule, organize, and respond appropriately to a variety of subjects and...

Key ResponsibilitiesMedical Pre-Authorization:Verify the eligibility and coverage of insured members.Assess requests for medical services, treatments, and hospital admissions for compliance with policy terms.Approve or deny requests based on medical necessity, policy limits, and guidelines.Communicate authorization decisions to providers and policyholders...

The Medical Insurance Officer will be responsible for processing and evaluating medical insurance claims, verifying patient insurance coverage, and liaising with insurance companies to ensure smooth claim approvals at Medical centers in Al Khobar.This role requires experience dealing with insurance companies and handling approvals efficiently, as well as...

Job Brief:We are seeking an experienced Medical Claims Manager to join our team at Nextcare. The successful candidate will be responsible for overseeing the Medical Claims Department, ensuring efficient claim processing, and meeting regulatory requirements.8+ years of experience in a mid-to-large sized organization in a similar role.Bachelor of Medicine and...

As an Insurance Coverage Analyst at Medical centers, you will be responsible for processing and evaluating medical insurance claims, verifying patient insurance coverage, and liaising with insurance companies to ensure smooth claim approvals.This role requires experience dealing with insurance companies and handling approvals efficiently, as well as...

We are looking for a Patient Care Coordinator to join our team at Medical centers in Al Khobar. As a Patient Care Coordinator, you will be responsible for ensuring that patients receive seamless and efficient care, including processing and evaluating medical insurance claims, verifying patient insurance coverage, and liaising with insurance companies to...

About JABAJABA is a leading Destination Management Company (DMC) that specializes in creating unforgettable experiences in Saudi Arabia. Our vision is to revolutionize the travel industry by delivering purpose-driven adventures that combine thrill, learning, and enjoyment.Accounting Officer RoleThe Accounting Officer will play a critical part in maintaining...

Role Overview:As a Medical Claims Manager at Nextcare, you will play a vital role in ensuring the efficient processing of claims. You will be responsible for supervising a team of professionals who handle claims, adhering to medical guidelines, regulatory requirements, and company standards.You will need to have 8+ years of experience in a mid-to-large sized...

Job Description:The Clinical Operations Manager is responsible for overseeing the daily operations of our Medical Claims Department, ensuring that all tasks are completed efficiently and effectively.Key Responsibilities:Supervise the Medical Claims Department, providing guidance on medical guidelines, practices, and regulatory instructions.Develop and...

Job Description:About Us:Nextcare is a leading healthcare services provider dedicated to delivering high-quality patient care and exceptional service.Job Summary:We are seeking an experienced Medical Claims Manager to oversee the daily operations of our Medical Claims Department. The successful candidate will be responsible for providing strategic...

Job Summary: We are seeking a highly motivated and experienced Sales Specialist Medical PPE to join our team in Saudi Arabia. The ideal candidate will be responsible for driving sales building strong relationships with clients and expanding the market for our Personal Protective Equipment (PPE) products in the healthcare sector.RequirementsKey...

Job Overview:We are looking for a highly motivated and customer-focused Call Centre Agent to join our team at Nextcare Saudi Arabia.The successful candidate will be responsible for providing exceptional customer service, responding to telephone inquiries, and resolving issues in a timely and professional manner.Main Responsibilities:Build a customer-oriented...

As a QHSE Officer, you are responsible for implementing and improving QHSE processes and procedures to support business operations in accordance with international standards.Other Duties and Responsibilities:Undertake QHSE inspections internally and externally as per the approved inspection program of the company.Develop, facilitate, and review QHSE risk...

Personal Assistant Required:Candidate must match the following criteria:Must be working directly under CEO as an AssistantShould know about event managementShould have agility on following up with eventsCandidate must have quick cultural adaptabilityCandidate must have excellent written and verbal communication skillsCandidate must be energetic and loves to...

In this critical role as a Worksite Compliance Officer, you will be responsible for ensuring that all work is carried out under the proper permit category and that the work permit contains all required approvals, safety measures, and risk assessments.Key Responsibilities:Receive, review, and understand work permits before starting any job.Ensure that all...