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Job Description

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




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