Analyst - Pre Authorization Medical

To ensure medical spend (In-Patient & Out-Patient services) is controlled by ensuring that pre-authorization decisions are within defined SAMA & CCHI regulations, accepted guidelines and high quality medical standards, safeguarding the member's health & safety and aligned to BUPA Values Medial cost & Service Management - Adjudicate the cases (In-Patient &...

To ensure medical spend (In-Patient & Out-Patient services) is controlled by ensuring that pre-authorization decisions are within defined SAMA & CCHI regulations, accepted guidelines and high quality medical standards, safeguarding the member's health & safety and aligned to BUPA ValuesMedial cost & Service Management Adjudicate the cases (In-Patient &...

MAIN PURPOSE OF ROLE_ - Summarize the main purpose of the role._ - MAIN RESPONSIBILITIES_ - Arranges appointments with doctors, pharmacists and hospital medical teams, which may include pre-arranged appointments or 'cold' calling. - Organises conferences for doctors and other medical staff. - Builds and maintains positive working relationships with medical...

Develop and implement clear and consistent authorization procedures for all Ma'aden applications.Review and approve user access requests based on pre-defined roles and permissions.Manage user groups, roles, and permissions efficiently, ensuring accurate access controls.Onboard new employees and manage user access changes efficiently.Conduct periodic access...

Develop and implement clear and consistent authorization procedures for all Ma’aden applications.Review and approve user access requests based on pre-defined roles and permissions.Manage user groups, roles, and permissions efficiently, ensuring accurate access controls.Onboard new employees and manage user access changes efficiently.Conduct periodic...

Role Purpose:Quant, a pioneering Saudi enterprise, leads the charge in digital transformation by leveraging the vast array of data resources available in the fourth industrial revolution. We are deeply committed to delivering exceptional Data Science and AI SaaS products and solutions, with a specialized focus on the real estate sector through Suhail and the...

MAIN PURPOSE OF ROLE_ - Summarize the main purpose of the role._ - MAIN RESPONSIBILITIES_ Arranges appointments with doctors, pharmacists and hospital medical teams, which may include pre-arranged appointments or 'cold' calling. Organises conferences for doctors and other medical staff. Builds and maintains positive working relationships with medical...

We are hiring a full-time Pre-Cert Coordinator for a local hospital. In this position you will work the hours of 8:30am and 5:00pm. As our Pre-Cert Coordinator you will communicate with patients and pre-register them for services. You will verify all insurance and financial information and communicate financial responsibility to patients. Prior...

We are hiring a full-time Pre-Cert Coordinator for a local hospital. In this position you will work the hours of 8:30am and 5:00pm. As our Pre-Cert Coordinator you will communicate with patients and pre-register them for services. You will verify all insurance and financial information and communicate financial responsibility to patients. Prior experience...

We are hiring a full-time Pre-Cert Coordinator for a local hospital. In this position you will work the hours of 8:30am and 5:00pm. As our Pre-Cert Coordinator you will communicate with patients and pre-register them for services. You will verify all insurance and financial information and communicate financial responsibility to patients. Prior...

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...

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...

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...

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...

**Overview**: To provides Estimation, design & deployment of Infrastructure Networking, IP Telephony, Voice, Data, Wireless, Infrastructure, ELV System (CCTV, Access control, Physical Security Systems). The Presales Engineer will be working closely with Sales team and provide support for finalizing projects **Key Responsibilities**: - Design, generate BOQ...

**Overview**: To provides Estimation, design & deployment of Infrastructure Networking, IP Telephony, Voice, Data, Wireless, Infrastructure, and ELV Systems (CCTV, Access control, Physical Security Systems). The Presales Engineer will be working closely with Sales team and provide support for finalizing projects **To be successful in this role, you will...

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...

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...

**Job Summary**: This role is responsible for managing all the medical related activities within the assigned territory that are specific to biotechnology, including but not limited to (expert engagement, speaker development, local medical activities, prelaunch activities & planning, medical training, patient engagement, patient support & education & nurse...

Assists patients and staff with medical eligibility problems and issues; coordinates with other departments as necessary. **Essential Responsibilities and Duties**: 1. Receives and assists patients, employees and other hospital staff with questions regarding medical eligibility issues/cases; coordinates with other departments in resolving problems. 2....