![Nahdi](https://media.trabajo.org/img/noimg.jpg)
Medical Insurance Senior Specialist- Riyadh
2 weeks ago
This role will be leading and managing the medical approvals, insurance claiming and Billing process with insurance companies and credit corporate sales accounts. Also working to minimize the rejections and collect payments within due dates to improve polyclinic profitability.
**Accountabilities**
- Medical Insurance Head Working on instant approvals for insurance guests, analyzing day to day data in order to improve the claiming process and operations.
- Reviewing and verifying the claims and all the required data/information.
- Verifying and checking the reports matching with “waseel” insurance companies’ systems (Tawuniya, DHS and Bupa).
- Communicating and negotiating with insurance companies in case of claims rejections to minimize it before reconciliations.
- Experience with healthcare provider in insurance will be an added point.
- Reviewing patient records using medical coding procedures.
- Examine claims, verify insurance eligibility, and record any medical charges and other payments or adjustments.
- Detecting any coding errors or performing any modifications needed.
- Assisting patients in obtaining and understanding medical benefits.
- Communication with other medical staff members and health insurance providers often occurs.
- Responsible for updating any internal databases, which electronically store and organize patients' records, billing details, and registration forms.
- Liaise with concerned departments on their medical insurance claims and finalize it with other teams (Finance, IT..etc)
- Employee’s duties are not limited only to the above-mentioned Accountabilities; he/she may perform other duties as assigned.
**Work Environment**
- Indoors : 100%
- Outdoors : 0%
- Working Days : 6 Working Days
- Days off : 1 Day Off
- Working Hours : 8 hours Shifts to ensure continuous attendance to reception. (with 1 hour Rota break)
**Job Requirement**
**Education
- **High School Diploma (Preferably University Graduate)
**Experience
- **2years in Medical Insurance
**Computer Skills
- **Microsoft Office
**Languages
- **English and Arabic (fluent spoken and written)
-
Medical Insurance Employee
4 days ago
الرياض, Saudi Arabia مجمع عيادات دسليمان الفايز ودمحمد ابو عجمة لطب الاسنان Full timeTasks 1. Contracting with insurance companies. 2. Negotiating with insurance companies to conclude contracts and ensuring comprehensive and satisfactory coverage for customers. 3. Claims management. 4. Coordinate and manage all aspects of medical insurance in the medical complex. 6. Follow up on patient transactions and synchronize with insurance...
-
Senior Medical Technologist
2 weeks ago
الرياض, Saudi Arabia King Faisal Specialist Hospital and Research Centre Full timePosted on Wednesday, 11 December 2024, 10 Jumada Al Thani 1446 Wednesday, 12 February 2025, 13 Shaban 1446 Location Riyadh Department/Section Toxicology Unit Performs and acts in a lead capacity for a specialized subsection/unit function of a laboratory section. **Essential Responsibilities and Duties**: 1. Organizes workflow and day-to-day...
-
Senior Account Executive
2 days ago
الرياض, Saudi Arabia SAS Full time: **Senior Account Executive Insurance - Hybrid** **Nice to meet you!** We’re a leader in data and AI. Through our software and services, we inspire customers around the world to transform data into intelligence - and questions into answers. We’re also a debt-free multi-billion-dollar organization on our path to IPO-readiness. If you're looking for a...
-
Senior Manager
3 weeks ago
الرياض, Saudi Arabia Qiddiya Investment Company Full timeQiddiya Investment Company, a leading real estate company, is seeking a highly skilled and experienced individual to join our team as a Senior Manager - Corporate Insurance. As the Senior Manager - Corporate Insurance, you will be responsible for managing and overseeing all aspects of insurance coverage for our organization. This is a critical role that will...
-
Insurance Specialist
1 day ago
الرياض, Saudi Arabia Tilad Environment Group Full time**Manage insurance policies** and ensure their validity and timely renewal. - **Analyze insurance needs** for the company or individuals and provide appropriate recommendations. - **Communicate with insurance providers** to obtain competitive offers and negotiate terms. - **Monitor insurance claims** and ensure all required documents are completed to...
-
Senior Energy Specialist
3 days ago
الرياض, Saudi Arabia World Bank Group Full timeSenior Energy Specialist **Senior Energy Specialist** Job #: req28709 Organization: World Bank Sector: Energy Grade: GG Term Duration: 4 years 0 months Recruitment Type: International Recruitment **Location**: Riyadh,Saudi Arabia Required Language(s): English Preferred Language(s): Closing Date: 8/27/2024 (MM/DD/YYYY) at 11:59pm...
-
Senior IT Planning and Governance Specialist
3 days ago
الرياض, Saudi Arabia CCDS Full timeCCDS is a renowned leader in providing comprehensive cybersecurity solutions tailored to meet the unique needs of businesses. We are currently looking for a highly skilled and motivated Senior Saudi IT Planning and Governance Specialist to join our team. As a Senior Saudi IT Planning and Governance Specialist at CCDS, you will play a crucial role in...
-
الرياض, Saudi Arabia CCDS Full timeCCDS is a leading provider of comprehensive information technology and cybersecurity solutions. We are currently seeking a highly skilled and experienced Senior Saudi Technical Project Management Specialist to join our team. As a Senior Saudi Technical Project Management Specialist at CCDS, you will be responsible for overseeing and managing complex...
-
Medical Coder Specialist
2 weeks ago
الرياض, Saudi Arabia Waseel Full time**Job Overview** Waseel is looking for a detail-oriented Medical Coder to ensure accurate healthcare documentation and billing by translating medical records into standardized codes. **Key Responsibilities** - Examine patient documents for accuracy. - Utilize ICD-10 AM, ACHI codes, and Australian standards to ensure correct medical coding and billing. -...
-
Medical Operations Director
2 weeks ago
الرياض, Saudi Arabia Creative Angles for consulting Full time**Position Title**:Operations Director **Reporting to**:Group CEO **Location**: Riyadh **Role Summary**: **The Medical Operations Director** will lead the strategic and operational management of a network of polyclinics, with a focus on enhancing clinical performance, revenue and profitability. This includes overseeing departments such as QA/QC, Medical...
-
Receptionist
2 days ago
الرياض, Saudi Arabia Attieh Medico Medical Equipment Company Full time**Responsibilities**: - Greet patients, visitors, and vendor with professionalism and courtesy - Answer phone calls, respond to inquiries, and direct calls to appropriate staff as needed - Provide detailed information regarding services, products, and insurance coverage - Collaborate with hearing aid specialists, audiologists, and other team members to...
-
Rcm Specialist
3 days ago
الرياض, Saudi Arabia Waseel Full time**Job Overview** Waseel is seeking an enthusiastic and dedicated RCM Specialist to join our team in different regions around the Kingdom! As an RCM Specialist, you will be responsible for managing the revenue cycle of healthcare provider organizations, ensuring efficient billing and collections processes. **Key Responsibilities** - Monitored compliance to...
-
Medical Obesity Specialist
4 weeks ago
الرياض, Saudi Arabia Stryber Full timeCompany: [Stealth] Position: Medical Obesity Specialist (Endocronologist, Internal Medicine, Bariatric) Location: Remote / Riyadh, KSA **Who we are** We are the first digital weight loss App in KSA, a trailblazing health-tech platform dedicated to transforming the landscape of weight management and wellness in Saudi Arabia. We leverage advanced medical...
-
Medical Technologist
2 weeks ago
الرياض, Saudi Arabia King Faisal Specialist Hospital and Research Centre Full timePosted on Monday, 02 December 2024, 1 Jumada Al Thani 1446 Monday, 13 January 2025, 13 Rajab 1446 Location Riyadh Department/Section Molecular Diagnostics Section Performs a variety of chemical, microscopic, immunological and/or bacteriological testing in the Clinical Laboratory to obtain accurate data for diagnosis and treatment of...
-
Structural Senior Engineer
1 week ago
الرياض, Saudi Arabia MPH Global Services Full timeIndustry: Oil & Gas City/Country: Riyadh, Saudi Arabia Location: Riyadh We are looking for a **Structural Senior Engineer (Primary) / Structural Senior Engineer (Façades) **for one of our clients with the following details: **Start Date: ASAP** **Duration of Assignment: 12 months - extendable based on project requirement** **Location: KSA** **Proposed...
-
الرياض, Saudi Arabia CCDS Full timeCCDS is a leading provider of end-to-end information technology and next-gen cybersecurity services. We are currently seeking a highly skilled and experienced Senior Saudi Network and Information Security Specialist to join our team. As the Senior Saudi Network and Information Security Specialist, you will be responsible for designing, implementing, and...
-
Senior Product Specialist Hematology, Riyadh
2 weeks ago
الرياض, Saudi Arabia Johnson & Johnson Full timeJohnson & Johnson is recruiting for a Senior Product Specialist, Hematology to be located in Riyadh, Saudi Arabia. Summary of the Job: The main task of a Product Specialist is to represent Johnson & Johnson in front of healthcare professionals, making sure our products are used based on their own merit, and according to their clinical indications, while...
-
General Mnager
2 weeks ago
الرياض, Saudi Arabia Medical Company Riyadh Imdad Full timeIn Riyadh, Al Yarmouk district, we need an accountant, preferably with experience in the medical field, with a certificate of either CPA, CMA, CIA, CFA or CFM. The salary depends on experience and certificates. Immediate appointment and immediate commencement is required. Mobile + WhatsApp: +966502689895 - WhatsApp only: + Pay: ﷼4,000.00 - ﷼8,000.00 per...
-
Claims Specialist
3 days ago
الرياض, Saudi Arabia Waseel Full time**Job Overview** Waseel is looking for a Claims Specialist to join our team to work in In different regions in Saudi Arabia ! **Key Responsibilities** Review and verify the accuracy of medical claims submitted by healthcare providers, ensuring compliance with company policies, procedures, and regulatory requirements. - Superior math aptitude and strong...
-
Regulatory Specialist
2 weeks ago
الرياض, Saudi Arabia Nestle Operational Services Worldwide SA Full time**Position Snapshot**: Title: Regulatory Specialist Location: Riyadh Full-Time **Position Summary**: contributes to compliant labelling and product related communications, for Food Supplement and Food for Special Medical Purposes gives input to business & technical in Local I&R projects and builds relations with authorities and associations. **A Day in...