Insurance Physician
Medical•Full Time•3+ years•Makkah province•
Required Skills2 skills
Medical Doctor
SCFHS
Job Description
<p>We are seeking a qualified Insurance Physician to join our team at Makkah Medical Center Hospital. In this role, you will be responsible for reviewing medical insurance claims, assessing medical necessity, and ensuring appropriate healthcare service utilization.</p><p>Key Responsibilities:<br/>- Evaluate medical insurance claims for accuracy and completeness.<br/>- Determine medical necessity and appropriateness of services.<br/>- Collaborate with healthcare providers to clarify medical information.<br/>- Ensure compliance with insurance guidelines and regulations.<br/>- Maintain accurate records of claim reviews and decisions.</p><p>Required Skills:<br/>- Medical Insurance Knowledge<br/>- Clinical Experience<br/>- Medical Claim Review<br/>- Communication Skills</p>We are seeking a qualified Insurance Physician to join our team at Makkah Medical Center Hospital. In this role, you will be responsible for reviewing medical insurance claims, assessing medical necessity, and ensuring appropriate healthcare service utilization.
Key Responsibilities:
- Evaluate medical insurance claims for accuracy and completeness.
- Determine medical necessity and appropriateness of services.
- Collaborate with healthcare providers to clarify medical information.
- Ensure compliance with insurance guidelines and regulations.
- Maintain accurate records of claim reviews and decisions.
Required Skills:
- Medical Insurance Knowledge
- Clinical Experience
- Medical Claim Review
- Communication Skills