Medical Clmis & Clinical Billing Consultant-Jordan

Qureos
Jordan
Workplace: OnsiteFull timeFunction: Healthcare (Clinical, Medical, Wellness)Skills: ["Medical billing","Medical claims auditing","Clinical necessity assessment","Invoice review","Healthcare documentation review","Financial accountability","Cost control","Internal controls"]

Review and audit medical claims for hospitals, clinics, rehabilitation facilities, pharmacies, and other providers participating in the MedEvac Jordan Program. Ensure invoices reflect provided services, approved treatment plans, clinical necessity, and fair pricing in the Jordanian healthcare market. Identify duplicate, unsupported, excessive, or incorrectly billed services; recommend approve/adjust/negotiate/reject outcomes; and support improvements to billing review procedures and internal controls through cross-functional coordination.

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FursaFursa
Qureos
Qureos
4 weeks ago

Medical Clmis & Clinical Billing Consultant-Jordan

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Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI
Last checked: 14 hours agoStatus: Live
Reposted: similar role first listed 1 week ago

Job Summary

Review and audit medical claims for hospitals, clinics, rehabilitation facilities, pharmacies, and other providers participating in the MedEvac Jordan Program. Ensure invoices reflect provided services, approved treatment plans, clinical necessity, and fair pricing in the Jordanian healthcare market. Identify duplicate, unsupported, excessive, or incorrectly billed services; recommend approve/adjust/negotiate/reject outcomes; and support improvements to billing review procedures and internal controls through cross-functional coordination.
Location: Jordan
Workplace: Onsite
Employment Type: Full time
Job Function: Healthcare (Clinical, Medical, Wellness)

Key Responsibilities

  • •Review itemized medical bills and healthcare claims submitted by participating providers.
  • •Match invoices to medical reports, treatment plans, physician orders, discharge summaries, laboratory/imaging results, prescriptions, and supporting clinical documentation.
  • •Assess the medical necessity and clinical appropriateness of billed services.
  • •Identify duplicate, unsupported, excessive, or incorrectly billed services.
  • •Provide structured claims review reports and recommendations to approve, adjust, negotiate, or reject medical claims.

Key Requirements

Skills:Medical billingMedical claims auditingClinical necessity assessmentInvoice reviewHealthcare documentation reviewFinancial accountabilityCost controlInternal controls

Company Brief

Qureos
Provides an AI-powered hiring and recruitment platform that helps employers source, screen, and match candidates faster. The product is designed to streamline talent acquisition and reduce time spent on repetitive recruiting tasks.
Industry: HR Tech
Company Size: Medium (51 to 250 employees)
Growth: Growth Stage Startup
Headquarters: Dubai, United Arab Emirates
Founded: 2019
WebsiteLinkedIn