MedNet Jordan Co. W.L.L

Audit and review received invoices from health care provider according to the policy and procedure and create batches accordingly. Send claims bordereau’s to health care provider networks to inform them of approved claims and settlement amounts. Answering provider queries to المزيد...

Applying Claims Department Policy & Procedures and quality measures for processing claims. Entering data accurately in order to provide accurate records to the company and Participated Insurance Companies (PICs). Conduct Medical Audit and review sample of Processed Claims &nda المزيد...

Receiving claims from Receiving and Dispatch Unit as per policy & procedure with high efficiency and accuracy. Review and separate received invoices according to providers before handing it over to Team Leaders – Claims for distribution. Printing out needed bordereau PDF المزيد...

Maintaining on-going benchmarks of MedNet's medical network capabilities in the market according to the medical network department parameters. Maintaining MedNet’s network competitiveness by expanding the medical network access locally as required by business needs. Ensu المزيد...

About the job MedNet Jordan is one of the leading managed care service organizations that cater to healthcare needs. We are currently seeking to hire a Junior Reviewer - Medical who works on a Shift Basis with the following tasks and responsibilities: Your Job . Provide المزيد...

Authorization for in-hospital cases in respect of medical necessity and appropriateness. Evaluation & approval of outpatient claims need authorization in respect to the medical necessity and appropriateness and check them on the system to ensure high quality and correct service المزيد...

manage the collection, allocation and payment of claims to providers in UAE as well as other MedNets as required. Reconcile and maintaining all claims bank accounts. Perform monthly key control compliance checks on claims processing (inc Claims Control Equation). Liaise with inte المزيد...

Authorization for in-hospital cases in respect of medical necessity and appropriateness. Evaluation & approval of outpatient claims need authorization in respect to the medical necessity and appropriateness and check them on the system to ensure high quality and correct service المزيد...

Receiving claims from Receiving and Dispatch Unit as per policy & procedure with high efficiency and accuracy. Review and separate received invoices according to providers before handing it over to Team Leaders – Claims for distribution. Printing out needed bordereau PDF المزيد...

Audit and review received invoices from health care provider according to the policy and procedure and create batches accordingly. Send claims bordereau’s to health care provider networks to inform them of approved claims and settlement amounts. Answering provider queries to المزيد...

Applying Claims Department Policy & Procedures and quality measures for processing claims. Entering data accurately in order to provide accurate records to the company and Participated Insurance Companies (PICs). Conduct Medical Audit and review sample of Processed Claims &nda المزيد...