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...

**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...

We are seeking an experienced Ledger Auditor to join our team at National Medical Care.Your key responsibilities will include:Conducting financial audits to ensure accuracy and completeness of financial records.Identifying and addressing any financial discrepancies or irregularities.Developing and implementing internal controls to prevent financial errors...

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 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...

About USAt CIGNA Healthcare we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities, and shareholders every day.One of the keys to driving Responsible Growth is being a great place to work for our...

Job DescriptionThe PositionManage the claims team in a region in Saudi Arabia, responsible for handling employee benefits claims. This includes guiding staff performance, providing support, and ensuring the department meets service level agreements and regulatory requirements.Oversee the employee benefits claims process in a region in Saudi Arabia, ensuring...

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...

Cigna is seeking a skilled Medical Billing Coordinator to join our insurance team.As a Medical Billing Coordinator, you will be responsible for reviewing and verifying medical claims, processing claims payments, and communicating with doctors' offices or insurance companies.You will also handle client inquiries, review policies, determine coverage, calculate...

The RoleLead the claims team for his/her region in KSA, responsible for employee benefits claims. This includes managing staff performance, providing guidance, and ensuring the department meets service level agreements and regulatory standards.Oversee the claims process for H&B in his/her region in KSA, ensuring that it follows the H&B operating model, and...

Job Description: Stafford Lawrence is a renowned project management consultancy with extensive experience in the Middle East region. We are currently seeking an experienced Contracts and Claims Manager to join our team on a full-time permanent basis. The successful candidate will be responsible for overseeing the administration of construction contracts,...

Claims Manager / Contracts Manager Job VacancyLocation: RiyadhSalary: 47,000-55,000 SAR Per Month Total PackageType: Full-Time, Permanent - Working hours are 0800 – 1810. Sunday to ThursdayStafford Lawrence is engaged on behalf of a PMO client to recruit an MRICS Contracts and Claims manager for a full-time permanent position on a project in Saudi Arabia,...

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?

Stafford Lawrence is seeking an experienced Contract and Commercial Manager to join our team on a full-time permanent basis. The successful candidate will be responsible for administering construction contracts, evaluating contractor claims, and providing guidance to the team. This role requires strong commercial acumen, excellent client liaison skills, and...

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. -...

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,...

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,...