For MedNet Jordan Co. W.L.L.
MedNet Jordan is one of the leading managed care service organizations that caters to healthcare needs. We are currently seeking to hire Officer - Medical (on Hybrid working modules 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.
• Responding to all international accounts requests and all inquiries from insurance companies.
• Medical Updating of the Medical File related to insured members regarding their investigations results like MRI, CT scan, etc....
• Filling of Medical Documents.
• Any other tasks assigned by Direct superior /Head of department.
• Deliver excellent customer services to Insurance Companies and insured members with view of achieving maximum client satisfaction.
Your profile:
• Bachelor Degree in Nursing Science or Doctor of Pharmacy.
• From 2 - 4 years' experience in his/her education field.
• Experience in claims management in the insurance industry or a TPA/MSO company would be a plus.
• Computer literacy (MS Office, Excel, PowerPoint)
• Knowledge related to medical terminology
• Good Command in English language.
• Industry knowledge related to local healthcare services system would be a plus.
• Good interpersonal and negotiation skills
• Analytical and problem solving skills