Medical Claims Director

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...

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...

About Us:At Nextcare, we strive to deliver exceptional patient care and service. Our commitment to quality and innovation has earned us a reputation as a leader in the healthcare industry.Job Overview:This role plays a critical part in ensuring the smooth operation of our Medical Claims Department. As Medical Claims Manager, you will be responsible for...

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...

Job Brief:We are seeking an experienced Medical Claims Manager to join our team at Nextcare. The successful candidate will be responsible for overseeing the Medical Claims Department, ensuring efficient claim processing, and meeting regulatory requirements.8+ years of experience in a mid-to-large sized organization in a similar role.Bachelor of Medicine and...

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...

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 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...

We are seeking a Family Medicine Medical Director to lead our team of healthcare professionals in delivering high-quality patient care through telemedicine and in-person consultations.About the Role:The Family Medicine Medical Director will be responsible for overseeing the provision of comprehensive primary healthcare to individuals and families of all...

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...

Role Overview:As a Medical Claims Manager at Nextcare, you will play a vital role in ensuring the efficient processing of claims. You will be responsible for supervising a team of professionals who handle claims, adhering to medical guidelines, regulatory requirements, and company standards.You will need to have 8+ years of experience in a mid-to-large sized...

RequirementsTo succeed in this role, you will need:A strong background in family medicine, including experience in telehealth and in-person practice.Excellent communication and interpersonal skills, with the ability to work effectively with patients, families, and healthcare teams.The ability to work independently and as part of a team, prioritizing patient...

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...

Job Description:About Us:Nextcare is a leading healthcare services provider dedicated to delivering high-quality patient care and exceptional service.Job Summary:We are seeking an experienced Medical Claims Manager to oversee the daily operations of our Medical Claims Department. The successful candidate will be responsible for providing strategic...

Education and Experience: Previous experience in claims management or financial services, with a deep understanding of reimbursement and risk management processes.Leadership ss: The ability to direct and manage work teams to achieve goals and improve performance.Effective Communication: Excellent communication ss to interact with customers, partners and...

About the JobThis position is responsible for managing and administering the commercial and contractual aspects of projects, ensuring compliance with company policies and procedures, and maintaining accurate records.Main ResponsibilitiesOverseeing the commercial and contractual aspects of projects;Coordinating with the project team to ensure company...

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...

Our client, a leading property developer, is looking to add further talent to the development arm of their business due to recent growth within the real estate sector. They are well known for delivering large scale projects and for their success in mixed-use community developments. The upcoming projects will be highly innovative and will change the...