Medical Insurance Claims Specialist

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...

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...

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 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...

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 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,...

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...

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...

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...

Job Overview:We are looking for a highly motivated and customer-focused Call Centre Agent to join our team at Nextcare Saudi Arabia.The successful candidate will be responsible for providing exceptional customer service, responding to telephone inquiries, and resolving issues in a timely and professional manner.Main Responsibilities:Build a customer-oriented...

Job DescriptionWe are seeking a skilled Medical Care Specialist to join our team at the Arab National Bank. As a key member of our healthcare support staff, you will play a vital role in ensuring the well-being and safety of our employees.Key Responsibilities:Assist all departments with document preparation for SAG licenses and practice exams.Provide...

The Ministry of Health Saudi Arabia invites applications from highly skilled Medical Specialists looking for a challenging opportunity in Saudi Arabia.With a minimum of 23 years of experience in the kingdom, this highly qualified individual has worked at Dammam Medical Complex and Abquiq General Hospital, among other prestigious institutions.As a medical...

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...

Are you an experienced sales professional with a passion for building relationships and driving business growth? We are seeking a highly motivated Business Development Specialist to join our team preferably in Al Khobar KSA. As a key member of our Sales Division, you will play a pivotal role in identifying and acquiring Corporate Clients while representing...

Job Overview:Company Information:Tawuniya Insurance Company seeks a highly skilled and motivated Sales and Marketing Executive to join our team. The ideal candidate will have a strong background in sales, excellent communication skills, and a passion for delivering results-driven solutions.Responsibilities:Develop and implement sales strategies to achieve...

Job DescriptionWe are seeking a highly motivated Business Development Specialist to join our team at Marsh Middle East and Africa.Identify and Cultivate New Business Opportunities: Identify and cultivate a robust pipeline of new business opportunities within the Corporate Sector through proactive outreach, referrals, and leveraging your existing...

Job OverviewThis Senior Contract Management Specialist role is responsible for managing and administering the commercial and contractual aspects of projects and oversight of its subcontractors. The Sr. Contract Management Specialist also administers and participates in change orders, claims, and the dispute resolution process both related to our Client...

Job Summary: We are seeking a highly motivated and experienced Sales Specialist Medical PPE to join our team in Saudi Arabia. The ideal candidate will be responsible for driving sales building strong relationships with clients and expanding the market for our Personal Protective Equipment (PPE) products in the healthcare sector.RequirementsKey...