Medical Insurance Senior Specialist- Riyadh

Nahdi Medical COmpany
Saudi Arabia
Workplace: OnsiteFull timeFunction: Insurance & ActuarialExperience: 2+ yearsEducation: high_schoolSkills: ["Microsoft Office","Communication","Negotiation","Billing","Claims processing","Data analysis"]

Lead and manage medical approvals, insurance claims, and billing processes with insurance companies and corporate sales accounts. Improve claim approval speed, minimize rejections, and ensure payments are collected by due dates to boost polyclinic profitability. Collaborate with Finance and IT, maintain accurate databases, and negotiate with insurers to optimize outcomes.

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FursaFursa
Nahdi Medical COmpany
Nahdi Medical COmpany
7 months ago

Medical Insurance Senior Specialist- Riyadh

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Source: Company careers pageValidated by: Fursa AI
Last checked: 19 hours agoStatus: Live

Job Summary

Lead and manage medical approvals, insurance claims, and billing processes with insurance companies and corporate sales accounts. Improve claim approval speed, minimize rejections, and ensure payments are collected by due dates to boost polyclinic profitability. Collaborate with Finance and IT, maintain accurate databases, and negotiate with insurers to optimize outcomes.
Location: Saudi Arabia
Workplace: Onsite
Employment Type: Full time
Job Function: Insurance & Actuarial

Key Responsibilities

  • •Medical Insurance Head Working on instant approvals for insurance guests, analyzing day to day data in order to improve the claiming process and operations.
  • •Reviewing and verifying the claims and all the required data/information.
  • •Verifying and checking the reports matching with “waseel” insurance companies’ systems (Tawuniya, DHS and Bupa).
  • •Communicating and negotiating with insurance companies in case of claims rejections to minimize it before reconciliations.
  • •Experience with healthcare provider in insurance will be an added point.
  • •Reviewing patient records using medical coding procedures.
  • •Examine claims, verify insurance eligibility, and record any medical charges and other payments or adjustments.
  • •Detecting any coding errors or performing any modifications needed.
  • •Assisting patients in obtaining and understanding medical benefits.
  • •Communication with other medical staff members and health insurance providers often occurs.
  • •Responsible for updating any internal databases, which electronically store and organize patients' records, billing details, and registration forms.
  • •Liaise with concerned departments on their medical insurance claims and finalize it with other teams (Finance, IT..etc)
  • •Employee’s duties are not limited only to the above-mentioned Accountabilities; he/she may perform other duties as assigned.

Key Requirements

  • •High School Diploma (Preferably University Graduate)
Experience:2+ yearsMedical insuranceHealthcare
Education:High School
Skills:Microsoft OfficeCommunicationNegotiationBillingClaims processingData analysis
Languages:EnglishArabic
Tech Stack:Microsoft Office

Company Brief

Nahdi Medical COmpany
Nahdi Medical Company operates a large pharmacy retail chain across Saudi Arabia and the region, providing pharmaceuticals, health and wellness products, e‑commerce services, and primary care clinics through an omnichannel platform.
Industry: Pharmacy & Retail Pharmacy
Company Size: Enterprise (1,001+ employees)
Growth: Established Company
Headquarters: Jeddah, Saudi Arabia
Founded: 1986
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