Medical Claims Auditor

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...

Roles and responsibilities Monitor, review and update patient's record files both in-patient and out-patient to ensure the completeness and proper documentation are observed with the accordance to both local and international standards.Key Responsibilities / Accountabilities Review medical records from departments such as Emergency Department (ER),...

**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...

Roles and responsibilities Codes patient medical records using the ICD-10-AM classification system.Consults with physician through the Head of HIM when documentation of diagnosis and procedures is illegible, not clinically state or omitted in order to properly assign codes or when proper sequencing of diagnoses and/or procedures is unclear.Filing of the...

Roles and responsibilities Responsible to review patient medical records and assigns codes to diagnoses and procedures performed so HMG can fix insurance as well as patient.Key Responsibilities / Accountabilities Provide quality review and analysis of a wide range of patient medical records and ensure accuracy of coding and maintain records in accordance...

**We are looking for a **" Medical review (physician) "** to join one of the biggest companies Supportive "Healthcare And Health Insurance" in Saudi Arabia.**: **The location work in (Riyadh)** **What Will You Do**: - Evaluating medical records - Interpreting medical data - Making diagnoses Based on the review of medical records and data - Providing expert...

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?

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...

Roles and responsibilities Responsible for processing, reviewing and filing governmental claimsKey Responsibilities / Accountabilities:Process governmental claims in a timely manner to ensure prompt and full payment.Review and verify governmental claims for completeness and accuracy.Compile claims according to government specifications, i.e. claim forms,...

Duties & Responsibilities:Underwrite risks within own authority, ensuring profitability, consistency, and adherence to company standards while achieving expected mortality results.Assist underwriters in reviewing and approving cases beyond their authority, offering second opinions, and supporting peak-period workloads.Train and develop underwriters through...

**Requisition ID**:251104** **Requisition Posting End Date**: **About Bechtel**: Since 1898, we have helped customers complete more than 25,000 projects in 160 countries on all seven continents that have created jobs, grown economies, improved the resiliency of the world's infrastructure, increased access to energy, resources, and vital services, and made...

At** Aram Meem** we are looking for an experienced **Internal Auditor** to bring a systematic approach to risk management, control, and governance processes. **Role responsibilities**: - Determine internal audit scope, analyze financial and business risks, and ensure the correct controls are in place. - Perform and control the full audit cycle including...

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...

Johnson & Johnson is recruiting for a Cross Sector Medical Safety Specialist to be located in Riyadh, KSA. Caring for the world, one person at a time has inspired and united the people of Johnson & Johnson for over 125 years. We embrace research and science - bringing innovative ideas, products and services to advance the health and well-being of people....

Chief Accountant - Healthcare & ERP SystemAldara Medical CorporationRiyadh, Saudi ArabiaJob Description:Under general direction, responsible for the more complex activities associated with maintaining general ledger accounts and for developing financial statements and reports. Performs diverse and specialized assignments, in assigned area of expertise, in...

Promote BA services by supporting members to utilize services (Tebtom, Rahatkom, Telemedicine, etc) and keep members engaged with company services. - Guide members on points of contact for queries and communication. - Update members on insurance coverage details, follow up cases, inquiries and responses with full support - Complete transactions and answering...

Performs administrative and statistical clerical work insupport of audit professionals in meeting departmental objectives. Assist inperforming internal audit projects as part of the annual internal audit plan.Applies principles of accounting in formatting and producing computer generatedschedules and reports. **Essential Responsibilities and Duties**: 2....

**Job Number** 23005350 **Job Category** Human Resources **Location** The Ritz-Carlton Riyadh, AlHada Area, Mekkah Road, Riyadh, Saudi Arabia, Saudi Arabia VIEW ON MAP **Schedule** Full-Time **Located Remotely?** N **Relocation?** N **Position Type** Management **JOB SUMMARY** Assists in carrying out the daily activities of the Human Resource Office...

**Job Number** 24042640 **Job Category** Human Resources **Location** The Ritz-Carlton Riyadh, AlHada Area, Mekkah Road, Riyadh, Saudi Arabia, Saudi Arabia VIEW ON MAP **Schedule** Full-Time **Located Remotely?** N **Relocation?** N **Position Type** Management **JOB SUMMARY** Assists in carrying out the daily activities of the Human Resource Office...

**Job Number** 24084596 **Job Category** Human Resources **Location** Diriyah Riyadh a Luxury Collection Hotel, One Marriott Drive, Ad Diriyah, Saudi Arabia, Saudi Arabia VIEW ON MAP **Schedule** Full-Time **Located Remotely?** N **Relocation?** N **Position Type** Management **JOB SUMMARY** Assists in carrying out the daily activities of the Human...