Clinical Decision Support Analyst

6 days ago


Muscat, Muscat, Oman Nextcare Full time
Role Summary

This is an exciting opportunity to join our team as a Medical Claims Officer. The successful candidate will be responsible for adjudicating cases, reviewing claims, and collaborating with internal stakeholders to ensure seamless claim processing.

Responsibilities and Duties
  • Adjudicate cases and authorize decisions within the stipulated turnaround time
  • Review claims accurately and efficiently, applying knowledge of CPT and ICD codes
  • Collaborate with internal stakeholders to ensure seamless claim processing
Requirements and Qualifications
  • Bachelor's degree in Medicine (MBBS) or Nursing
  • 1-2 years of medical experience in a reputable insurance provider, broker, or TPA
  • Knowledge of insurance industry practices and regulations
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