Junior Reviewer

3 weeks ago


Amman, Jordan MedNet Jordan Co. W.L.L Full time
  • About the job

    MedNet 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 medical cases efficiently.

    · Medical evaluation and daily monitoring of treatment plans for in-hospital cases in respect of medical necessity and appropriateness.

    · Evaluation & approval of outpatient claims need authorization in respect to the medical necessity and appropriateness and check them in the system to ensure high quality and correct services.

    · Chronic soap evaluation, issue, checking, sign & stamp.

    · Manage queries from providers, Insurance Companies and insured members relating to authorization, evaluation and administration.

    · Responding to all international accounts requests and all inquiries from insurance companies.

    · Deliver excellent customer services to Insurance Companies and insured members with view of achieving maximum client satisfaction.

    · Medical Updating of the Medical File related to insured members regarding their investigations results like MRI, CT scan, etc....



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