Pre-Approval Medical Officer

Answer inbound calls as well as assist parties who have specific inquiries.Queries may range between coverage questions, network location and medical questions.Receive, evaluate and assess approval requests from Healthcare providers (Hospitals, Laboratories, pharmacies…)Insure that all needed required documentation (referral form, completed medical...

Answer inbound calls as well as assist parties who have specific inquiries.Queries may range between coverage questions, network location and medical questions.Receive, evaluate and assess approval requests from Healthcare providers (Hospitals, Laboratories, pharmacies…)Insure that all needed required documentation (referral form, completed medical...

Provision of technical and managerial support for the medical approval doctors.Supporting the medical approving doctors with answering inbound calls, when necessary, as well as assisting other parties who have specific inquiries.Supporting the medical approving doctors with queries which may range between coverage questions, network location and medical...

Managing and supervising the referral and claims team (referral doctors, senior claims officer, referral team leaders, Finance Officer Referral).Managing the referral and claims operation.Direct supervise and evaluate work activities Review and evaluate the periodical statistical reports.Lead the referral and claims process to obtain the best quality, cost...

To accomplish their primary goal of providing care to sick and injured patients as well as maintaining the health of all patients, Medical Doctors perform several tasks. We have reviewed several job listings and found the following among the core Medical Doctor duties and responsibilities.A main responsibility of a Medical Doctor is to evaluate patients who...

Communicate with hospitals to prepare invoicesRegistration of claims upon receiving. Make sure that all claims documents and details are complete (original invoices, medical reports, diagnostic procedure results, copy of referral) Medical examination to ensure that the treatments and procedures match the diagnosis.Examine whether the incurred treatments and...

"  Job title: Medical Representative   Key Responsibilities: Presenting and promoting the company's medications to doctors, pharmacists, and other relevant healthcare professionals. Developing an in-depth understanding of company medications. Building and maintaining good business relationships with customers to encourage repeat...

Coordinate with RSC, Operation unit, and other IOM missions to schedule migrants for health assessment, Pre-Departure Medical Procedures, Pre-Embarkation Check, and other medical procedures.Register the migrants in the IOM database, schedule and confirm medical appointments and receive and communicate messages for medical staff and beneficiaries;Prepare...

" Job title: Medical Representative Key Responsibilities:Presenting and promoting the company's medications to doctors, pharmacists, and other relevant healthcare professionals. Developing an in-depth understanding of company medications. Building and maintaining good business relationships with customers to encourage repeat purchases. Following up on leads...

"Key Responsibilities: Presenting and promoting the company's medications to doctors, pharmacists, and other relevant healthcare professionals. Developing an in-depth understanding of company medications. Building and maintaining good business relationships with customers to encourage repeat purchases. Following up on leads generated by the...

Managing and supervising the referral and claims team (referral doctors, senior claims officer, referral team leaders, Finance Officer Referral).Managing the referral and claims operation.Direct supervise and evaluate work activities Review and evaluate the periodical statistical reports.Lead the referral and claims process to obtain the best quality, cost...

"Key Responsibilities:Presenting and promoting the company's medications to doctors, pharmacists, and other relevant healthcare professionals. Developing an in-depth understanding of company medications. Building and maintaining good business relationships with customers to encourage repeat purchases. Following up on leads generated by the company. Preparing...

Ibn Al Haytham Hospital announces its desire to appoint: Medical Records Officer Job Details - He must be of Jordanian nationality with a Bachelor's degree / Diploma in Nursing. Has knowledge of medical supplies. Residents of Amman and its environs. For those with the above qualifications

Determines covered medical insurance losses by studying provisions of policy or certificate.Establishes proof of loss by studying medical documentation; assembling additional information as required from outside sources, including claimant, physician, employer, hospital, and other insurance companies; initiating or conducting investigation of questionable...

Managing and supervising the referral and claims team (referral doctors, senior claims officer, referral team leaders, Finance Officer Referral).Managing the referral and claims operation.Direct supervise and evaluate work activities Review and evaluate the periodical statistical reports.Lead the referral and claims process to obtain the best quality, cost...

• lead appropriate identification, mapping and engagement of Medical Experts and study investigators in alignment with Integrated Product Strategy (IPS).•Provide and discuss medical, scientific and health care and outcome research evidence on new treatment options, Novartis compounds, products, therapeutic and research areas with HCPs (e.g....

To verify the referral cases in terms of the approval process, supporting document, and payable amountTo work as a focal person with the donor in terms of securing required pre and post-approvals for ECC cases.To follow up on audited cases and liaise with the relevant health facilities to settle down the final payable amount.To coordinate between the health...

Contributing clinical expertise to patient care and providing guidance to junior physicians.Performing administrative duties and risk management.Ensuring the highest standards in patient care are maintained.Verifying complex diagnoses and facilitating treatment plans.Hiring, supervising, and mentoring healthcare professionals and collaborating with...

1. Organizational Setting and Work RelationshipsThe Senior Medical Admin Assistant/Nurse is under direct supervision of Senior Medical Officer (SMO).As part of the Medical Section team, and in support to the SMO, the Senior Medical Admin Assistant/Nurse will provide administrative, logistic, support to the health projects/programmes and emergency support...

About the jobMedNet Jordan is one of the leading managed care service organizations that cater to healthcare needs. We are currently seeking to hire a Junior Reviewer - Medical who works on a Shift Basis with the following tasks and responsibilities: Your Job· Provide authorizations for insured members (In/Out-Patient) and handle calls relating to...