Insurance Medical Rules

Medical fieldCompany DescriptionMedical Complex is located in Riyadh. We specialize in providing comprehensive healthcare services.Role DescriptionThis is a full-time on-site role for an Insurance Manager. The Insurance Manager will be responsible for managing insurance policies, overseeing claims processing, and ensuring compliance with insurance...

The required position is for medical claims processor, looking into insurance claims day to day medical insurance related activities. **Responsibilities**: - Claims review - Claims submission - Claims Resubmission Qualifications: - Medicine background will only be entertained for this position, General Medicine or Nursing - Experience of minimum 6 months...

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...

The required position is for medical claims processor, looking into insurance claims day to day medical insurance related activities.Responsibilities: Claims review Claims submission Claims ResubmissionQualifications: Medicine background will only be entertained for this position, General Medicine or Nursing Experience of minimum 6 months to 1 year is...

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...

Responsible for reviewing and analysing market payer and regulator protocols and review medical records in order to abstract relevant data to support the creation of rules to ensure appropriate codes are assigned in accordance with the Saudi clinical coding system and standards. THYNK Rules will support billing integrity and provide best practice support...

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...

**Role Summary: Business Rules Senior Manager** - Responsible for managing the product image and its development though client Interface by connecting Content and Business teams(BDU)simultaneously. - Ensuring and supporting the development for rules content by providing support to internal team by reviewing, guiding, and validating the activities performed...

**Role Summary: Business Rules Senior Manager** - Responsible for managing the product image and its development though client Interface by connecting Content and Business teams(BDU)simultaneously. - Ensuring and supporting the development for rules content by providing support to internal team by reviewing, guiding, and validating the activities performed...

Urgently required for one of the largest contracting companies specialized in building power plants and Substations in KSA: (( Insurance Officer )) Bachelor degree in any discipline. Experience: 3 – 5 years in Insurance field. Responsibilities: Work in daily transaction for all kind of insurance (Medical, Motors, Properties, Projects, Marine). Work on...

Responsibility and duties: - Taking responsibility for the operations of medical insurance documents for employees (Additions - deletion - promotions - employee requests... etc.). - Implement and follow up on the responsibility of motor claims operations. - Responsibility for asset security operations. - Responsibility for medical malpractice insurance...

**General Overview**: **Key Responsibilities**: - Lead the clinic's Operations including medical, nursing, patient experience, and quality. - Oversee business growth and positive patient experience. - Manage the overall operations of the clinic, including budgeting, hiring, scheduling, and completing contracts. - Monitoring medical administration,...

**General Overview**: **Key Responsibilities**: - Lead the clinic's Operations including medical, nursing, patient experience, and quality. - Oversee business growth and positive patient experience. - Manage the overall operations of the clinic, including budgeting, hiring, scheduling, and completing contracts. - Monitoring medical administration,...

1. Update insurance policy contract information on the system database. 2. Processing of pre-authorization requests to insurance companies electronically. - Receives prior-authorization requests from the attending physician - Reviews and ensures all necessary information is well justified before processing the request to the corresponding insurance...

Alma Health is a digital healthcare provider with a mission to transform the lives of patients with chronic healthcare conditions. We are seeking an experience Insurance Coordinator to join our team in KSA. Job Responsibilities: - Coordinating, liaising and networking between insurance companies regarding eligibility, payments, approvals, reconciliation and...

1. Update insurance policy contract information on the system database.Processing of pre-authorization requests to insurance companies electronically. Receives priorauthorization requests from the attending physician Reviews and ensures all necessary information is well justified before processing therequest to the corresponding insurance company. Contacts...

Alma Health is a digital healthcare provider with a mission to transform the lives of patients with chronic healthcare conditions. We are seeking an experience Insurance Coordinator to join our team in KSA.Job Responsibilities: Coordinating, liaising and networking between insurance companies regarding eligibility, payments, approvals, reconciliation and...

Looking for an Medical claims specialist for our clinic in west of RIYADH. Minimum requirements: Medical background (MBBS/General medicine/Nursing etc...) **Salary**: ﷼3,000.00 - ﷼5,000.00 per month Application Question(s): - Do you have experience dealing with medical claims?

Looking for an Medical claims specialist for our clinic in west of RIYADH. Minimum requirements: Medical background (MBBS/General medicine/Nursing etc...) **Salary**: ﷼3,000.00 - ﷼5,000.00 per month Application Question(s): - Do you have experience dealing with medical claims?