Job Description

Key Responsibilities

• Coordinate medical insurance approvals for procedures and healthcare services.
• Liaise with insurance companies to obtain timely authorization approvals.
• Review and process medical claims for completeness and accuracy.
• Verify medical documentation and insurance requirements before submission.
• Follow up on rejected claims and coordinate resubmissions.
• Work closely with physicians, clinics, finance, and insurance providers.
• Ensure compliance with CHI regulations, NPHIES requirements, and internal policies.
• Maintain accurate records and reports related to approvals and claims activities.

Requirements

• Bachelor’s Degree (Healthcare-related degree preferred).
• Nursing background is highly preferred.
• Previous experience in Medical Insurance, Medical Coordination, RCM, or Claims Management.
• Good knowledge of Saudi health insurance regulations and CHI requirements.
• Strong understanding of medical terminology.
• Good English communication skills.
• Proficiency in Microsoft Office and healthcare systems.