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Officer - Medical

1.00 to 10.00 Years   Amman, Jordan   16 Aug, 2022
MedNet Jordan (MN-JOR) BU
1 Jobs Openings
Job LocationAmman, Jordan
EducationNot Mentioned
SalaryNot Mentioned
IndustryOther Business Support Services
Functional AreaNot Mentioned

Job Description

For MedNet Jordan Co. W.L.L.MedNet Jordan is one of the leading managed care serviceorganizations that caters to healthcare needs. We are currently seeking to hire Officer - Medical who works on Shift Basis with the following tasks and responsibilities:Your Job

  • Authorization 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 on the system to ensure high quality and correct services.
  • Manage queries from providers, Insurance Companies and insured members relating to authorization, evaluation and administration.
  • Respondingtoall international accounts requestsand allinquiries frominsurance 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....
  • Filling of Medical Documents.
Your Profile
  • Bachelor degree in Nursing or any related medical field.
  • Minimum 2-5 years of experience in medical field / nursing.
  • Experience in claims management in the insurance industry or a TPA company would be a plus.
  • Knowledge related to medical terminology
  • Good Command in English language.
  • Industry knowledge related to local healthcare services system would be a plus.
  • Computer literacy ( MS Office, Excel, PowerPoint).
  • Flexablity o work on Shift basis.
  • Analytical and problem solving skills
  • Ability to handle stress and work under pressure.
  • Client Centricity approach.

Keyskills :

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