Your Job: Evaluate cases according to case management triggers and protocols, provide authorizations for insured members, and efficiently manage related calls and communications. Coordinate care between members and providers…
Your Job: Provide overall guidance about the medical cases review, evaluation and claims activities ensuring compliance with established policy guidelines. Review all KPI’s and SLA’s and process in place…
Your Job Provide overall guidance about the medical cases review, evaluation and authorization activities ensuring compliance with established policy guidelines. Revise & confirm application of TOB, PIC Exclusion List…
Your Role Oversee inpatient medical operations and ensure team productivity meets set targets and SLAs. Conduct daily audits of medical approvals to ensure compliance with policy coverage and procedures.…
Your Job Receiving the Checkup request from the Insurance Companies and booking the appointment with the selected providers. Collecting the results and sending them to the Insurance Companies. Reply…
MedNet Egypt is one of the leading managed care service organizations that caters to healthcare needs. We are looking for a skilled Senior Officer – Medical Customer Service -…
MedNet Egypt is one of the leading managed care service organizations that cater to healthcare needs. We are looking for skilled Senior Medical Officer – Rule Engine who will…
Senior Quality Assurance Officer - Medical Approval and Claims About the job: MedNet Egypt is one of the leading managed care service organizations that caters to healthcare needs. We…
MedNet Egypt is one of the leading managed care service organizations that caters to healthcare needs. We are looking for a skilled Senior Complaints Officer who will be responsible…
MedNet Egypt is one of the leading managed care service organisation that caters to healthcare needs. We are looking for a skilled Network Officer who will Manage operations in…