DB Healthcare Specialist Executive

5 days ago


Muscat, Muscat, Oman GIG Gulf Full time

At GIG Gulf, we prioritize compliance with all applicable laws, regulations, and industry standards.

We seek an experienced DB Claims Executive to join our Direct Billing Claims Department, responsible for ensuring compliance and maintaining high-quality claims processing.

The ideal candidate will possess excellent communication skills, both written and verbal, and hold a medical education degree (Physician or Dental).

Key Responsibilities:

  • Conduct regular audits and quality checks to ensure compliance and accuracy.
  • Review and evaluate complex or high-value claims, taking decisions on claims settlements.
  • Communicate with providers and other departments through emails and phone calls.

Operational & Technical Responsibilities:

  • Oversee the claims processing workflow, coordinating with the direct billing claims team.
  • Evaluate claims based on policy terms and conditions, medical necessity, and coding guidelines.

Role Requirements:

  • Due to regulatory requirements, ONLY Omani nationals will be considered for this role.
  • Medical education degree is required (Physician or Dental).
  • Very good communication skills.

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