Sr.Claims Coordinator

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

Source: Company careers pageValidated by: Fursa AI

Last checked: 22 hours agoStatus: Live

Job Summary

Coordinate medical insurance claims and approvals for patients served at NMC Hospitals and Clinics. You’ll review claim forms for accuracy, use the UCAF system to verify requested investigations, prepare and send UCAF documents to insurance/direct companies, follow up for approvals, and enter approvals into HMIS. In addition, you’ll manage monthly corporate claims by re-checking submissions, consolidating rejections/deductions, and coordinating with accounting and contracted companies.

Location: Riyadh

Workplace: Onsite

Employment Type: Full time

Job Function: Insurance & Actuarial

Seniority: Mid level

Key Responsibilities

•Ensure quality of medical treatment, compassion, and understanding for every patient served at NMC Hospitals and Clinics.
•Approve and re-check monthly corporate claims submitted by claims coordinators and clerks.
•Report unadjusted and un-entered medical services to the claims manager, including excluded services for newly contracted companies.
•Coordinate with the Accounting section by providing monthly payable amounts reports from contracted companies; consolidate claim rejections and deductions.
•Coordinate patient admission approvals with insurance/direct companies: receive and review claim forms, send UCAF for approval, follow up, convey outcomes to patients and Admission office, and enter approvals into HMIS.

Key Requirements

•Ensure high-quality medical treatment, compassion, and understanding for every patient served at NMC Hospitals and Clinics.
•Ability to receive and review claim forms from nurses or relatives, including checking attached ID copies for correctness.
•Experience using internal systems to browse UCAF forms and verify requested physician investigations for admission purposes.
•Capability to prepare printed UCAF documents and send them via fax or email for insurance/direct company approval.
•Ability to enter approvals in HMIS once acquired and coordinate extensions and service updates with insurance companies.

Experience:0HealthcareInsurance

Skills:Attention to detailCoordinationCommunication

Tech Stack:UCAFHMIS

Company Brief

CARE Medical

Provides medical care and healthcare services in Saudi Arabia, likely including patient consultations, clinical support, and related healthcare offerings through its local medical brand and online presence.

Industry: Healthcare Providers

Headquarters: Riyadh, Saudi Arabia

Website

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CARE Medical

2 weeks ago

Sr.Claims Coordinator

✓ Verified Job

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

Source: Company careers pageValidated by: Fursa AI

Last checked: 22 hours agoStatus: Live

Job Summary

Location: Riyadh

Workplace: Onsite

Employment Type: Full time

Job Function: Insurance & Actuarial

Seniority: Mid level

Key Responsibilities

•Ensure quality of medical treatment, compassion, and understanding for every patient served at NMC Hospitals and Clinics.
•Approve and re-check monthly corporate claims submitted by claims coordinators and clerks.
•Report unadjusted and un-entered medical services to the claims manager, including excluded services for newly contracted companies.
•Coordinate with the Accounting section by providing monthly payable amounts reports from contracted companies; consolidate claim rejections and deductions.
•Coordinate patient admission approvals with insurance/direct companies: receive and review claim forms, send UCAF for approval, follow up, convey outcomes to patients and Admission office, and enter approvals into HMIS.

Key Requirements

•Ensure high-quality medical treatment, compassion, and understanding for every patient served at NMC Hospitals and Clinics.
•Ability to receive and review claim forms from nurses or relatives, including checking attached ID copies for correctness.
•Experience using internal systems to browse UCAF forms and verify requested physician investigations for admission purposes.
•Capability to prepare printed UCAF documents and send them via fax or email for insurance/direct company approval.
•Ability to enter approvals in HMIS once acquired and coordinate extensions and service updates with insurance companies.

Experience:0HealthcareInsurance

Skills:Attention to detailCoordinationCommunication

Tech Stack:UCAFHMIS

Company Brief

CARE Medical

Industry: Healthcare Providers

Headquarters: Riyadh, Saudi Arabia

Website