Medical Billing Review Expert

Key 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...

CONTRACT REVIEW AND MANAGEMENT PROFESSIONALAbout Us:We are a dynamic organization seeking a skilled Contract Review and Management Professional to join our team. The successful candidate will be responsible for reviewing and advising on contracts.Responsibilities:Review and analyze contracts to ensure compliance with company policies and procedures.Provide...

About the Role:We are looking for an experienced professional to lead the development and implementation of our CRM and billing solutions using Microsoft Dynamics 365. As a Senior Technical Lead, you will be responsible for driving innovation and excellence in solution design, development, and implementation.Responsibilities:Design and Implement Solutions:...

Key responsibilities/What you do:Precertification team is functional on 24/7 basis. Therefore, the Medical Officer will be working on flexible shift basis as per the schedule provided by the Team Leader.Adjudicates Cases, authorizes decision within the stipulated turnaround time & with the highest quality standards in view with the policy terms and...

About the Role:This is an exciting opportunity for an experienced Claims Executive to join our team in Omani National role. The successful candidate will be responsible for ensuring the smooth and efficient processing of claims, maintaining compliance with regulations and policies.Key Accountabilities:Oversee the claims processing workflow, coordinating the...

Job 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...

Job DescriptionAs a Clinical Adjudication Specialist, you will play a crucial role in ensuring the accuracy and efficiency of our medical claims process. Your responsibilities will include:Main Duties:Review DRG Severity of Illness (SOI) in line with CPT and ICD code revisions.Conduct utilization reviews for DRG and FFS cases, including final bill review and...

About the Job:We are a leading healthcare provider in Oman, seeking a skilled and motivated Endocrinologist to join our team as a Medical Specialist. This role involves providing high-quality patient care, conducting research, and contributing to the development of our medical services.Key Duties:Providing expert medical consultations and treatments to...

Unlock Your Potential as an Offshore Design ExpertAbout the Opportunity    We are looking for a talented individual to join our team as an Offshore Design Expert, working on exciting projects that involve designing and developing structural models for offshore structures.    As an Offshore Design Expert, you will be responsible for:Applying your...

Unlock Your Potential as a Digital Transformation ExpertVodafone Oman is committed to connecting everyone in Oman for a better future. As an IT Solution Architect, you will play a key role in defining the architectural roadmap and designing solution architecture for our requirements.We are seeking a seasoned professional with hands-on experience in BSS,...