Medical Claims Processor

**The Position**: We are looking for a detail-oriented claims processor to join our insurance team. You will be responsible for preparing claim forms, verifying information, and corresponding with agents and beneficiaries. You will also handle client inquiries, review policies, determine coverage, calculate claim amounts, and process payments. To be...

We are looking for a detail-oriented claims processor to join our insurance team. You will be responsible for preparing claim forms, verifying information, and corresponding with agents and beneficiaries. You will also handle client inquiries, review policies, determine coverage, calculate claim amounts, and process payments. To be successful as a claims...

We are looking for an experienced **Medical Claims Supervisor** to join our team. On a daily basis, you’ll handle and process insurance claims. To succeed in this role, you must have strong analytical thinking and excellent writing skills. If you are a reliable person with a strong work ethic, we’d like to hear from you. **Responsibilities** - Handle...

To audit & process all type of rejected claims received by the payers and resubmitting them correctly after thorough investigation and justification. **Responsibilities** - Properly process and audit all type of claims received by the payers, from the medical and insurance perspective. - Assure meeting the daily assigned target in terms of quantity &...

The Medical Claims Submission Associate is involved is receiving the claims from every client either in paper or electronic format. He batches the received claims and segregates them as per insurances. Prepares a statement for reconciliation with the client and queries the client for any missing documents or claims. Scanning of the document is done and...

**We are looking for a **" Claims Specialist "** to join a " Supportive Healthcare And Health Insurance" company in Saudi Arabia.**: **The location work in Riyadh.** **What Will You Do**: - All services provided to insured patients must be prepared in a defined claim format in order to - reimburse incurred costs from the insurance companies. - Responsible...

**Job Overview** Waseel is looking for a Claims Specialist to join our team to work in Riyadh! **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 analytical ability - Assess claim...

This role is at the heart of Cigna’s claims processing operation in the Middle East. Claims are received from both members and providers, and the position holder will be required to organise and track workflow daily to facilitate the consistent attainment of turnaround times and other critical success factors for Claims. The position holder will also be...

Medical Claims Automation Analyst - Chiefly responsible for achieving and maintaining minimum Denial rates by contributing in market payer, regulator protocols and Denial and Bypass trends analysis. This is aim to achieve in collaboration with Business Rules Analyst position being reported to him. Furthermore, reviewing medical records in order to abstract...

**The Position**: We are looking for a detail-oriented Claims Lead to join our insurance team. As a Claims Lead you will directly report to the Manager of the Claims Department and will be an integral member of the Claims Leadership Team. You will be responsible for the analysis and management of claim files within their unit. Supervision includes claim...

**We are looking for a **" Associate - Claims resubmission "** to join a **Supportive Healthcare And Health Insurance** company in Saudi Arabia.**: **The location work in Riyadh.** **What your **Responsibilities**: - Properly process and audit all types of rejected claims received from payers, from the medical and technical perspective. - Report back any...

Description: - The Insurance Claims Coordinator will be responsible for managing and processing insurance claims within a company. Their main duties include: - Reviewing insurance policy coverage and claim eligibility. - Communicating with clients, insurance adjusters, and medical providers to gather information and documentation. - Entering and updating...

Accountable for accurate transcription of dictated medical reports (history and physical examination, discharge summary, operative reports, consultation, etc.). **Essential Responsibilities and Duties**: 1.Transcribes dictated reports using computers/word processors, dictated equipment and other office equipment. 2.Follows established standards and methods...

The supervisor role is responsible for providing leadership and management of day to day operations that result in the provision of an efficient, accurate and timely claims management for OP and IP cases. To be successful in the role, needs excellent understanding of the claim and submission process with the knowledge of the payer, provider contracts. The...

Medical Review Doctor is responsible for identifies incomplete documentation that could affect a healthcare facility by examining the coding procedures and ensuring the organization complies with regulatory requirements. A Medical Review Doctor would be expected to identify fraudulent claims, outliers, reimbursement deficiencies, inefficiencies, incorrect...

We are seeking a qualified and dedicated medical biller to join our team. In this position, you will be responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgment. As our medical biller, your daily duties will include maintaining billing software, appealing denied claims, and recording late...

Carry out FWA activities to achieve target forecasting and resolve identified business needs within the agreed timescale and quality standards Collecting the best evidence of the fraudulent act - Ensure the decisions are according to the best medical standards and agreement terms & conditions in order to prevent abuse, fraud, and overtreatment. - Assures...

To manage the commercial and contractual relationship with Bupa network providers so as to ensure the compliance to regulations and the delivery of business benefits. - Set the targets aligned with the overal forecast. - Analyze, monitor the cost effectiveness of the unit and utilization of services of the providers to control and drop it year after year. -...

Requirement gathering and analysis: Collaborating with stakeholders, including healthcare providers, insurance companies, and internal teams, to understand their requirements and gather detailed information about the medical claim processes. This involves conducting interviews, workshops, and documentation reviews. - Process analysis and improvement:...

1. Help developing CME programs for HCP’s sponsored by pharmaceuticals and societies. 2. Develop advisory boards discussion guide and flow to collect insights about clinical practice and global guidelines adoption. 3. Build medical surveys & questionnaires. 4. Search clinical trials, articles & other evidence base medicine to support commercial & medical...