Medical Claims Officer
4 weeks ago
- 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 claims.
- Documents medical claims actions by completing forms, reports, logs, and records.
- Resolves medical claims by approving or denying documentation; calculating benefit due; initiating payment or composing denial letter.
- Ensures legal compliance by following company policies, procedures, guidelines, as well as state and federal insurance regulations.
- Maintains quality customer services by following customer service practices; responding to customer inquiries.
- Provides legal support by assembling documentation for settlement action.
- Protects operations by keeping claims information confidential.
- Prepares reports by collecting, analyzing, and summarizing information.
- Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations.
- Accomplishes organization goals by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.
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Medical Claims Officer
1 month ago
Amman, Jordan International Medical Corps IMC, Jordan Full timeCommunicate 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...
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Medical Referral Manager
2 weeks ago
Amman, Jordan International Medical Corps Full timeManaging 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...
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Medical Referral Manager
2 weeks ago
Amman, Jordan International Medical Corps Full timeManaging 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...
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Medical Referral Manager
2 weeks ago
Amman, Jordan International Medical Corps Full timeManaging 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...
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Officer - Claims
1 month ago
Amman, Jordan MedNet Jordan Co. W.L.L Full timeApplying Claims Department Policy & Procedures and quality measures for processing claims.Entering data accurately in order to provide accurate records to the company and Participated Insurance Companies (PICs).Conduct Medical Audit and review sample of Processed Claims – sample defined as per confidence level target set on a yearly basis - against...
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Claims Manager
1 day ago
Amman, Jordan MedNet Global Healthcare Solutions LLC Full time• Plan resources, manage and control overall claims processing operations for health care service providers and insured member direct claims ensuring benchmarks are met regarding execution of the different steps in the value chain for claims management proactively reducing cycle time, ensuring provision of prompt services to clients, and thus supporting...
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Medical Referral Manager
2 weeks ago
Amman, Jordan International Medical Corps Full timeBachelor Degree in a Medical Background.Minimum 15+ years’ experience of professional health management with at least 10 years in managerial post,Experience in medical insurance.Previous experience in direct handling referrals and claims.Related Professional certificate is desirable.Managerial, leading and supervising skills.Experience in developing...
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Claims Assistant
3 weeks ago
Amman, Jordan Jordan Paramedic Society Full timeEnsures that medical claims, medical records and other documentation essential to the healthcare provider follow JPS agreement.Ensures record accuracy, follows up, and makes necessary revisionsProcesses changes in information system to support accurate and efficient billing process and financial close.Checking eligibility and benefits verification for...
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Medical Approval Doctor
1 month ago
Amman, Jordan International Medical Corps IMC, Jordan Full timeAnswer 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...
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Junior Officer
1 month ago
Amman, Jordan MedNet Jordan Co. W.L.L Full timeReceiving claims from Receiving and Dispatch Unit as per policy & procedure with high efficiency and accuracy.Review and separate received invoices according to providers before handing it over to Team Leaders – Claims for distribution.Printing out needed bordereau PDF or excel format which need to be communicated with Payers in alignment with line...
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Medical Representative
1 month ago
Amman, Jordan Joswe Medical Full time" 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...
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Medical Representative
1 month ago
Amman, Amman, Jordan Joswe Medical Full time" 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...
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Medical Representative- Nutritionist
1 week ago
Amman, Jordan Joswe Medical Full time"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...
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Medical Representative- Nutritionist
1 week ago
Amman, Amman, Jordan Joswe Medical Full time"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...
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medical records officer
3 weeks ago
Amman, Jordan Ibn Al Haytham Hospital Full timeIbn 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
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Senior Medical Admin Assistant
4 weeks ago
Amman, Jordan United Nations High Commissioner for Refugees Full timeReceive, review and route all incoming material, indicating priority items and place the information along with any background information with the digital medical file for the attention of the physician.Exercise absolute confidentiality when dealing with medical issues.respond to enquiries of a medical-administrative nature.Prepare correspondence of a...
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Junior Reviewer
1 month ago
Amman, Jordan MedNet Jordan Co. W.L.L Full timeAbout 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...
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General Physician
2 weeks ago
Amman, Jordan International Medical Corps Full timeInspecting and updating patients' charts.Diagnosing common ailments such as colds, flu, and diabetes.Administering medication topically, orally, and via intravenous or intramuscular injections.Prescribing apt medications and lifestyle alterations.Collecting fluid and tissue samples and sending these to laboratories for further testing.Referring patients...
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Medical Officer
1 month ago
Amman, Jordan Angelo's Cafe Full timeContributing 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...
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Snr Medical Admin AssistantNurse
4 weeks ago
Amman, Jordan UNHCR Full time1. 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...