Medical Approval Officer

دوام كامل في a Laimoon Verified Company في Saudi Arabia

نُشرت يوم November 3, 2024

تفاصيل الوظيفة

Hiring Medical Approval Officer with MBBS Degree for our Insurance Domain Client in Riyadh, KSA.Locals only.Responsibilities:Handle relations with the Medical Providers which includes negotiating all the discounts, studying all the price lists, handling reconciliations and visiting the Medical Providers on a regular basis.Analyze prior-approval requests, negotiate the cases with the medical providers, approve the cases when agreement is reached and enter the claim into Insurance system.Supervise In-patient claims (this supervision includes visits to the patients during their hospitalization).Advise on Medical Basics and Practice.Assist Medical Claims Administrators in processing claims.Validate all medical claims in Insurance system.Communicate with Insured Members on their claims and on any request coming from an Insured Member.Drive training and information seminars on Insurance medical products directed toward clients, prospects and internal Sales forces.Ensure that all medical information is kept confidential.Kindly send CVs to jobs1@arab-house.com.

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