
Medical Claims Specialist
1 day ago
This role involves adjudicating cases and authorizing decisions within stipulated turnaround times while ensuring the highest quality standards in accordance with policy terms and conditions.
You will perform comprehensive file reviews, including multidisciplinary notes, TPR charts, physician orders, lab reports, radiology reports, drug charts, consultation notes, nursing notes, and progress notes.
The ideal candidate will request necessary medical documentation or identify missing documents essential for decision-making. Additionally, you will review DRG Severity of Illness (SOI) in line with CPT and ICD code revisions, including discussions with treating doctors and medical coders if required.
Other responsibilities include conducting utilization reviews for DRG and FFS cases, reviewing claims according to CPT and ICD coding guidelines, and adhering to cost containment protocols for medical management cases.
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Medical Claims Officer Position
1 week ago
Muscat, Muscat, Oman beBee Careers Full timeJob SummaryWe are seeking a skilled Medical Claims Officer to join our team. As a key member of our organization, you will be responsible for adjudicating medical cases, authorizing decisions, and performing comprehensive file reviews.Main Responsibilities:Adjudicate medical cases within the stipulated turnaround time, ensuring high-quality standards in...
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DB Claims Specialist
1 day ago
Muscat, Muscat, Oman beBee Careers Full timeJob SummaryWe are seeking a skilled DB Claims Executive to join our team. The ideal candidate will have excellent communication skills, a medical education degree, and experience in claims processing.Key Responsibilities• Team Management: The successful candidate will oversee the team in both claims processing and communication, providing guidance and...
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Claim Management Specialist
4 weeks ago
Muscat, Muscat, Oman Petroleum Development Oman Full timeJob DescriptionAbout the CompanyPetroleum Development Oman is the leading exploration and production company in the Sultanate of Oman. The Company delivers the majority of the country's crude oil production and natural gas supply.Purpose of the JobClaim Management Specialist within the Integrated Supply Chain plays a pivotal role in ensuring the efficient...
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Medical Claims Officer
1 week ago
Muscat, Muscat, Oman Nextcare Full timeKey Responsibilities / What You Do:The precertification team operates 24/7; therefore, the Medical Officer will work on a flexible shift basis according to the schedule provided by the Team Leader.Adjudicate cases, authorize decisions within the stipulated turnaround time, ensuring the highest quality standards in accordance with policy terms and...
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Claim Resolution Expert
1 day ago
Muscat, Muscat, Oman beBee Careers Full timeThe role of a Claim Management Specialist plays a pivotal part in ensuring the efficient handling and resolution of claims related to supply chain operations. Your responsibilities will encompass analysing, processing, and resolving claims arising from various stages of the supply chain process, collaborating with internal stakeholders, and implementing...
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Claim Management Specialist
3 weeks ago
Muscat, Muscat, Oman Petroluem Development Oman Full timeJob Id: PDO2254Start Date: Apr 13, 2025End Date: Apr 22, 2025Company Name: Petroleum Development OmanContracting and ProcurementNo of Position: 1Position Type: TemporaryJob Type: Not SpecifiedNationality Required:Education & Experience Required:About the CompanyPetroleum Development Oman is the leading exploration and production company in the Sultanate of...
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Healthcare Claims Processor
1 day ago
Muscat, Muscat, Oman beBee Careers Full timeAbout the RoleWe are seeking a skilled DB Claims Executive to join our team. The ideal candidate will have a strong understanding of claims processing, excellent communication skills, and a medical education degree.Main Responsibilities• Oversee the claims processing workflow, ensuring the smooth and efficient processing of claims.• Ensure compliance...
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Claims Specialist
1 day ago
Muscat, Muscat, Oman beBee Careers Full timeWe require experienced construction project claims managers to lead cost management projects in Oman.About the ProjectApplicants must have specialist experience in construction claims, delay analysis, EOT, and contractual correspondence.You will work closely with clients to understand their needs and deliver high-quality results.The ideal candidate will be...
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Claims Executive
1 day ago
Muscat, Muscat, Oman beBee Careers Full timeJob DescriptionWe are looking for a highly skilled DB Claims Executive to join our team. The successful candidate will have a strong understanding of claims processing, excellent communication skills, and a medical education degree.Responsibilities• Manage the claims processing workflow, coordinating the workflow within the direct billing claims...
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Experienced Claims Professional
2 weeks ago
Muscat, Muscat, Oman beBee Careers Full timeWe require an Experienced Claims Professional to join our team and work on various major cost management projects in Oman.The ideal candidate must have specialist experience in construction claims, delay analysis, and contractual correspondence. A degree qualification is required; MRICS is preferred, and a qualification in law would be advantageous.This is...