Rejection Physician

Almoosa Specialist Hospital; Eastern Province; On-site; SAR 150,000 - 200,000; Full time

Job summary

An established industry player in healthcare is seeking a dedicated professional to ensure the accuracy of medical approval requests. This role involves collaborating with multidisciplinary teams, reviewing medical data, and liaising with insurance companies to streamline the approval process. The ideal candidate will possess a Bachelor’s Degree in Healthcare Sciences and have a minimum of two years of experience in medical insurance and clinical settings. Join a compassionate team committed to providing personalized care and support to patients and their families, making a meaningful impact in the healthcare community.

Qualifications

• Mindful of patient care and support with a healthcare background.
• Experience in medical insurance and clinical settings.

Responsibilities

• Review medical data for approval requests and liaise with medical staff.
• Interact with insurance companies to expedite service approvals.

Skills

Verbal Communication

Written Communication

Computer Literacy

Education

Bachelor’s Degree in Healthcare Sciences

Job description

Duties and Responsibilities:

• Assure accuracy of approval requests by checking medical data for appropriateness of information.
• Interact with multidisciplinary teams in the identification of related services and procedures for the approval process.
• Use the medical background to review & liaise with doctors and nursing staff for medical reports and data information to assure that approvals are granted.
• Liaise with insurance companies to fasten the approval process and assure service approvals.
• Send & follow up on the rejected medical approval concerning the companies for all inpatient & outpatient.
• Perform other tasks and duties within the scope of knowledge, skills, and experience required for the job, as assigned by the immediate manager or department head.
• Maintain and monitor rejection data.
• Answer inquiries concerning the patients.
• Treat people with dignity, compassion, and respect.
• Provide personalized coordinated care and support for patients and families.

QUALIFICATIONS:

• Bachelor’s Degree in Healthcare Sciences.

PROFESSIONAL EXPERIENCE:

• Minimum 2 years’ experience in medical insurance.
• Minimum 2 years’ clinical experience.

SPECIALIZED SKILLS:

• Computer literate.
• Excellent verbal and written communication skills.