Medical Claims Processor

We are seeking a Medical Insurance Claims Specialist to join Medical centers in Al Khobar. This role is responsible for processing and evaluating medical insurance claims, verifying patient insurance coverage, and liaising with insurance companies to ensure smooth claim approvals.The ideal candidate will have experience handling medical approvals and...

As an Insurance Coverage Analyst at Medical centers, you will be responsible for processing and evaluating medical insurance claims, verifying patient insurance coverage, and liaising with insurance companies to ensure smooth claim approvals.This role requires experience dealing with insurance companies and handling approvals efficiently, as well as...

We are seeking a dedicated and detail-oriented Medical Claims Officer to join our team. The role focuses on ensuring efficient and accurate adjudication of outpatient claims while maintaining compliance with regulatory standards.Key ResponsibilitiesProcess outpatient claims daily in adherence to medical policies and guidelines.Review claims data (physical...

Key ResponsibilitiesProcess outpatient claims daily in adherence to medical policies and guidelines.Review claims data (physical and electronic) to ensure accuracy and compliance with operational checklists.Maintain accuracy rate in quality audits and meet daily processing targets.Identify unusual provider patterns and escalate potential fraud to the...

Job Summary:We are seeking a seasoned Medical Claims Director to join our team at Nextcare. As a key member of our leadership team, you will be responsible for overseeing the daily operations of our Medical Claims Department.About the Role:Serve as the acknowledged expert and information source for staff, providing guidance on medical guidelines, practices,...

Medical centers Al Khobar, Eastern, Saudi ArabiaWe are seeking a Medical Insurance Officer to join our team in Al Khobar. This role is open to Saudi nationals only and is responsible for processing and evaluating medical insurance claims, verifying patient insurance coverage, and liaising with insurance companies to ensure smooth claim approvals. The ideal...

Summary:Medical Claims Manager is responsible for supervising the daily work of the Medical Claims Department in providing quality service to clients, promptly and effectively according to operations set standards, TAT, and SLA. The position requires the ability to independently plan, schedule, organize, and respond appropriately to a variety of subjects and...

About the PositionWe are seeking a skilled Medical Claims Officer to join our team at Walaa Cooperative Insurance Company.ResponsibilitiesThe ideal candidate will process outpatient claims daily, adhering to medical policies and guidelines.Reviewing claims data (physical and electronic) is a critical aspect of this role, where you will verify accuracy and...

Company OverviewWalaa Cooperative Insurance Company is committed to delivering excellent service to our customers.Job RequirementsThis role requires a Medical Claims Officer to process outpatient claims daily, adhering to medical policies and guidelines.The ideal candidate will review claims data (physical and electronic), verifying accuracy and identifying...

The Medical Insurance Officer will be responsible for processing and evaluating medical insurance claims, verifying patient insurance coverage, and liaising with insurance companies to ensure smooth claim approvals at Medical centers in Al Khobar.This role requires experience dealing with insurance companies and handling approvals efficiently, as well as...

We are looking for a Patient Care Coordinator to join our team at Medical centers in Al Khobar. As a Patient Care Coordinator, you will be responsible for ensuring that patients receive seamless and efficient care, including processing and evaluating medical insurance claims, verifying patient insurance coverage, and liaising with insurance companies to...

Key ResponsibilitiesMedical Pre-Authorization:Verify the eligibility and coverage of insured members.Assess requests for medical services, treatments, and hospital admissions for compliance with policy terms.Approve or deny requests based on medical necessity, policy limits, and guidelines.Communicate authorization decisions to providers and policyholders...

Job OverviewWalaa Cooperative Insurance Company is seeking a highly skilled Medical Claims Officer to join our team.Job DescriptionThis role involves processing outpatient claims daily, adhering to medical policies and guidelines, and ensuring accuracy and compliance with operational checklists.The ideal candidate will review claims data (physical and...

Job Description:The Clinical Operations Manager is responsible for overseeing the daily operations of our Medical Claims Department, ensuring that all tasks are completed efficiently and effectively.Key Responsibilities:Supervise the Medical Claims Department, providing guidance on medical guidelines, practices, and regulatory instructions.Develop and...

Overview:As a Healthcare Cost Containment Specialist, you will play a critical role in reducing healthcare costs while ensuring the highest level of patient care.Main Responsibilities:Supervise the Medical Claims Department, providing guidance on medical guidelines, practices, and regulatory instructions.Develop and implement cost containment plans, case...

Job DescriptionManage members' experience with the relevant operational functions to ensure that services are delivered to the members end to end in every touch point of their journey on a timely manner.Proactively propose and facilitate Tebtom and all other core healthcare services to the members to ensure that they will receive appropriate care customized...

For over six decades, Chalhoub Group has been a partner and creator of luxury experiences in the Middle East. The Group, in its endeavour to excel as a hybrid retailer, has reinforced its distribution and marketing services with a portfolio of eight owned brands and over 300 international brands in the luxury, beauty, fashion, and art de vivre categories....