Medical Pre-Authorization

منذ 2 أيام

Eastern Province, المملكة العربية السعودية Walaa Cooperative Insurance Co. دوام كامل ‏١٢٠٬٠٠٠ ر.س.‏ - ‏١٨٠٬٠٠٠ ر.س.‏ عقد

Walaa Cooperative Insurance Co. is seeking a Medical Pre-Authorization Officer to assess and process pre-authorization requests for medical services, ensuring compliance with policies and medical necessity criteria.

You will manage in-patient case management and coordinate with providers and members to optimize care delivery. The role requires strong knowledge of ICD/CPT coding, health insurance processes, and NPHIES; you will communicate decisions professionally and maintain strict