Medical Support Specialist
Smart Insurance Brokerage
Multiple Vacancies
Posted on 23 Oct
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Nationality
Any Nationality
Gender
Not Mentioned
Vacancy
3 Vacancies
Job Description
Roles & Responsibilities
We are seeking a highly detail-oriented and analytical Medical Operations Specialist to join our growing team. In this role, you will be the critical link between our clinical services, claims processing, and provider relations departments. You will be responsible for ensuring the accuracy, efficiency, and compliance of our medical operations, from pre-authorization to claims adjudication. The ideal candidate is a proactive problem-solver with a strong understanding of medical terminology, insurance guidelines, and regulatory standards.
Key Responsibilities
Chronic Medication process
Utilization Monitoring
Medical approval Support
Medical claims review
Desired Candidate Profile
- Bachelor s degree in Healthcare from a reputable university (Pharmacy, Dentistry, Medicine, Veterinary, Biotechnology, or related fields).
- Strong proficiency in medical terminology, anatomy, and physiology.
- Excellent analytical and problem-solving skills with a keen eye for detail.
- Strong written and verbal communication skills.
- Ability to manage multiple priorities in a fast-paced, deadline-driven environment.
Company Industry
- Insurance
Department / Functional Area
- Doctor
- Nurse
- Paramedics
- Hospital Technicians
- Medical Research
Keywords
- Medical Support Specialist
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