Medical insurance coordinator

DallahHealth; Riyadh; On-site; SAR 120,000 - 180,000; Full time

Job summary

DallahHealth is seeking a dedicated Revenue Cycle Administrator to support medical administration processes, billing, approvals, and claims handling in Riyadh.

You will coordinate with clinical staff and insurers, draft client contracts, ensure compliance with MOH standards, and contribute to data-driven performance indicators and risk management initiatives.

Qualifications

• 3 years postgraduate experience in medical practice.
• 2 years practical experience in medical administration.
• Licensed medical professional as per Saudi MOH.

Responsibilities

• Assist Revenue Cycle management in medical administration.
• Participate in creation of contractual agreements with clients.
• Provide medical support to approval, claims processing, and billing sections.
• Coordinate with medical staff for client contracts, requirements and forms.
• Coordinate with Insurance Co. for rejections and replies.
• Reconcile with Insurance Co. for final settlement.
• Ensure compliance with departmental policies and local/international standards.
• Develop indicators, collect data, and measure performance of the function.

Education

Basic Medical Degree

Licensed by the Saudi Ministry of Health

Job description

-Assists the Revenue Cycle management in medical administration of the business.

- Participate in creation of contractual agreements with clients.

Providing the medical support to approval section.

Providing the medical support to claims processing center.

Provide the medical support to billing section.

Coordinating with the medical staff for the client?s contracts, requirements and forms.

Coordinate with Ins. Co. for Rejection & Reply of Insurance Company rejections.

Responsible for reconciliation with Ins. Co. for final settlement.

Fully aware and actively implement the departmental policies and procedures, local and international standards or requirements related to the department.

Actively involves in indicator development, data collection for the department and to measure the performance of the function, process, and outcome. Whenever required, conducts analysis and interpretation of data/information collected.

Participate in hospital Safety Management & Risk Management Programs. Actively reports incidents in the system and whenever needed, participates in incident review, and root cause analysis.

Performs any other duties within the range of his / her professional knowledge and skills as directed by the Revenue Cycle Director

3 years postgraduate experience in medical practice.

2 years practical experience in medical administration.

Basic Medical Degree

Licensed by the Saudi Ministry of Health