Medical Approval Specialist

1 week ago


Riyadh, Ar Riyāḑ, Saudi Arabia Alhokair Group Full time

Hiring a Medical Approval Officer with an MBBS degree for our Insurance Domain Client in Riyadh, KSA. This is a local position.

Key Responsibilities:

  1. Negotiate discounts with medical providers, analyze price lists, and handle reconciliations.
  2. Analyze prior-approval requests, negotiate cases with medical providers, and approve cases when agreements are reached.
  3. Supervise in-patient claims, including visits to patients during hospitalization.
  4. Advise on medical basics and practice.
  5. Assist medical claims administrators in processing claims.
  6. Validate all medical claims in the insurance system.
  7. Communicate with insured members on their claims and requests.
  8. Drive training and information seminars on insurance medical products.
  9. Maintain confidentiality of medical information.

Requirements:

MBBS degree and relevant experience in medical claims or insurance.

How to Apply:

Send your CV to the HR department.



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