Healthcare Professional

6 days ago


Muscat, Muscat, Oman Nextcare Full time
About the Role

This is an exciting opportunity for a motivated and detail-oriented Clinical Reviewer to join our team at Nextcare. As a Clinical Reviewer, you will be responsible for reviewing medical claims, assessing patient information, and making informed decisions regarding claim authorization.

Key Accountabilities:

  • Review medical claims and assess patient information to make informed decisions.
  • Evaluate medical documentation, lab results, and other relevant information to determine claim validity.
  • Collaborate with healthcare professionals to clarify information and resolve discrepancies.
  • Apply knowledge of medical terminology, anatomy, and pharmaceuticals to review claims effectively.
  • Maintain accurate records and communicate claim status to stakeholders.
  • Participate in continuous learning and professional development to stay updated on industry regulations and best practices.


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