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Medical Officer

MedNet Global Healthcare Solutions LLC

Posted on February 12, 2020

2 - 4 years Amman - Jordan

MBBS(Medicine). Any Nationality

Opening 01

Job Description

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MedNet Jordan is one
of the leading managed care service organizations that caters to
healthcare needs and offers financial protection against unforeseen health
risks. We are currently seeking to hire Officer-Medical at Medical Department 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.
• 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.
• Primary Medical underwriting for
individual, group policies & the renewal list according to the standard
underwriting rule on daily basis and assess risk exposure of members in line
with medical underwriting policies.
• 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....
Your profile:
• Bachelor s Degree in Nursing Science, Pharmacy, Paramedical Certificate.
• 2 to 4 years' experience in his/her education field.
• Experience in claims
management in the insurance industry or a TPA company would be a plus.
• Computer literacy (
MS Office, Excel, PowerPoint)
• Knowledge related to
medical terminology
• Very Good Command in
English language.
• Industry knowledge related to local healthcare
services system would be a plus.
• Solution Oriented and Client Centricity Approach.


Keywords

Medical Officer

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MedNet Global Healthcare Solutions LLC


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