Medical Referral Manager

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...

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...

Bachelor 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...

Establish professional relationships with medical providers and medical facilities in the covered area and keep an updated portfolio with all services provided + possible costs. Keep professional communication ongoing to ensure quality patient care, acceptance and admission of the patients and smooth referrals. All new medical facilities of use for the...

Coordinate the daily tasks for Paramedic and ambulance drivers.Organize and coordinate all referral transportation movements and schedules in cooperation with referral office, ambulance drivers and focal points in the hospitals.Provide the finance department in documentation relevant to transportation.Maintain an adequate tracking system for vehicles and...

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...

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...

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...

Ensures the referral processes are running smoothly according to the referral’s guidelines.Manages incoming and outgoing referral processesProvides the required updates for the referral policies and pathway whenever neededProvide the required training for the Focal Points, Field Monitors and any other related staff.Supervise the Hospitals Focal Points...

Ensures the referral processes are running smoothly according to the referral’s guidelines.Manages incoming and outgoing referral processesProvides the required updates for the referral policies and pathway whenever neededProvide the required training for the Focal Points, Field Monitors and any other related staff.Supervise the Hospitals Focal Points...

Provision of PHC services:PreventiveMedical checkupFamily Planning CounselingChild growth monitoring and immunization statusHealth education provision and increase people awareness about their current health conditions and health promotion in generalCurativeMedical consultation including family, medical history and full physical examinationManagement of...

Patients’ identification, referral and follow-up:Identify and screen patients who can be admitted to MSF Amman surgical programBe the focal point for referrals and consultations for patients in assessment process at OPD in Al MowasahFollow-up the patients after discharge according to the surgical plan and patients’ admission manager...

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...

The Medical Coordinator is overall responsible for the appropriateness and quality of medical interventions conducted by projects. He is expected to identify and work on removing barriers to enhance patient safety, effective medical care, and improved patient-centred activities.Work closely with the Deputy Country Director and the Program Managers to ensure...

The PHC Mobile Clinic Medical Doctor will be responsible for:• Implement primary health care activities in identified fields through PHC Mobile clinic with the PHC Nurse, and Project team.• Attend home visits to do assessment or case follow up as needed.• Implementation of clinical care for mobile clinic activities.• Prepare work plan...

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...

To follow inpatients in Azraq camp hospital (including COVID-19 cases) and set the plan of treatment for the GPs to follow.Monitoring patients' conditions and progress, and re-evaluating treatments, as necessary.To assess and treat referred patients by reviewing and understanding their medical backgrounds and examining them to assess their current...

Provision of outpatient services in assessment, diagnosis, and follow-up of patients referred by General Practitioners or referral doctors.Maintenance of an accurate, legible, and current medical record.To assess and treat referred patients (with neurological disorders) by reviewing and understanding their medical backgrounds and examining them to assess...

Provision of outpatient services in assessment, diagnosis, and follow-up of patients referred by General Practitioners or referral doctors.Maintenance of an accurate, legible, and current medical record.To assess and treat referred patients (with neurological disorders) by reviewing and understanding their medical backgrounds and examining them to assess...