Insurance Medical Officer

1 day ago


Muscat, Muscat, Oman beBee Careers Full time
About the Role:

This Medical Claims Officer role offers the opportunity to work in a dynamic environment where you will be responsible for adjudicating cases, performing comprehensive file reviews, and requesting necessary medical documentation.

You will work closely with our team to ensure that all claims are processed efficiently and effectively, while maintaining the highest level of quality and accuracy.

Responsibilities:
  • Adjudicate cases and authorize decisions within stipulated turnaround times.
  • Perform comprehensive file reviews, including multidisciplinary notes and TPR charts.
  • Request necessary medical documentation or identify missing documents.
  • Review DRG Severity of Illness (SOI) in line with CPT and ICD code revisions.


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