Medical Insurance Claiming

2 weeks ago


Jeddah, Saudi Arabia Nahdi Full time

Responsible of securing 80% of clinic revenue as its covered under insurance. Managing claiming and billing process internally and externally with excellence. Performs audits on insurance claims to ensure full governance and compliance on the claiming and billing process and raise internal physicians awareness on CCHI and Insurance provider policy including diagnosis and provisions of care using his/her medical expertise. Acts as an ultimate owner of Nahdi Care clinic claiming and billing SPOC with stakeholders and ensures full claiming accuracy by reducing rejection rate to less than 5%. Analyzes and Reporting data to top management and proactively lead decisions that avoid rejection rate to avoid any negative implications of clinic reputation within insurance providers and financial impact of clinic profitability. **Accountabilities** - Ensure delivering 80% of clinic profit with excellence - Design and implement Best In Class Claiming and Billing processes - Comply with NCC



  • Jeddah, Saudi Arabia Nahdi Full time

    This role will be leading and managing the medical approvals, insurance claiming and Billing process with insurance companies and credit corporate sales accounts. Also working to minimize the rejections and collect payments within due dates to improve polyclinic profitability. **Accountabilities** - Medical Insurance Head Working on instant approvals for...

  • Insurance Manger

    6 days ago


    Jeddah, Saudi Arabia Andalusia Group For Medical Services Full time

    Medical Background is a must. Experience in medical insurance ( health care and hospital ). Primary Responsibilities - Manage operations and productivity at an insurance company. - Create and modify procedures and documents related to policies. - Assist in claims management. - Identify and analyze risks associated with policies. - Achieve target budgets. -...

  • Claims Manager

    2 weeks ago


    Jeddah, Makkah Province, Saudi Arabia Taleo Social Sourcing Full time 90,000 - 120,000 per year

    MedNet is one of the leading managed care service organizations that caters to healthcare needs and offers protection against unforeseen health risks. We are looking for a Claims Manager who will plan and manage the data entry and claims processing operations of the assigned MedNet in order to ensure the delivery of superior claims handling services to...


  • Jeddah, Saudi Arabia Marsh Full time

    **What is in it for you?** This is a great opportunity to collaborate and work alongside a highly motivated and well-respected team at Marsh. You will also be provided access to colleague resource groups across KSA that provides mentorship and development opportunities to help you build a sense of connection and community throughout your career. **We will...

  • Claims Management

    2 weeks ago


    Jeddah, Saudi Arabia Bupa Arabia Full time

    **Responsibilities**: **Claims Submission**: Review and process healthcare claims submitted by providers. Ensure claims are accurate and comply with insurance policies and Bupa requirements. **Issue Resolution**: Investigate and resolve issues related to claim submissions. Communicate with providers to gather necessary information and clarify...

  • Claims Reimbursement

    2 weeks ago


    Jeddah, Saudi Arabia Bupa Arabia Full time

    To ensure that assigned provider’s Outpatient claims will be medically & commercially adjudicated within the specified timeframe and within the targeted quality standards to achieve the business objective of delivering high quality claims statements. **Adjudication** - Process all the daily batches of claims assigned in line with medical policy and...


  • Jeddah, Saudi Arabia Group for Medical services Full time

    A famous Group of Medical Services is Hiring "Insurance sales manager " in KSA, Jeddah. - insurance Background is a must. - Experience in sales manger (INSURANCE BROKER ). - Saudi Residents only


  • Jeddah, Saudi Arabia Magrabi Health Full time

    Duties and Responsibilities: - Responsible for overseeing the implementation of Magrabi established policies and procedures within the assigned Branch/Region. - Interfere with the Insurance Companies to solve and troubleshoot any problem related to patients’ Medical Insurance within the assigned Branch/Region. - Continuously review the efficiency of each...

  • IT Manager

    4 days ago


    Jeddah, Saudi Arabia Advanced Gate Full time

    **About Us**:Founded by a team of seasoned industry professionals with deep expertise in IT and insurance, we are a forward-thinking startup dedicated to leveraging technology and data to innovate within the insurance sector. **Key Responsibilities**: - **Strategic IT Leadership**: Develop, implement, and maintain IT strategies, policies, and procedures,...

  • Medical Projects

    1 week ago


    Jeddah, Saudi Arabia Bupa Arabia Full time

    To lead and manage high-impact medical projects across whole book and mega accounts, digital health, and interdepartmental initiatives, ensuring alignment with Bupa’s strategic objectives. The role is accountable for delivering evidence-based, value-driven healthcare outcomes through structured data analysis, operational oversight, and clinical excellence...