Job Description

Company Description Alhayat Medical Clinics has been delivering comprehensive medical services for more than 25 years in Riyadh and across the Kingdom of Saudi Arabia. Established in 1999, the clinics are known for a highly efficient medical staff and deep experience across multiple specialties. Services cover the full patient journey, from diagnosis and treatment to awareness, prevention, and psychological support. The organization invests in modern medical technologies and keeps pace with the latest clinical developments. Alhayat Medical Clinics continues to expand and develop to provide the best possible standard of health care.
Role Description This is a full-time, on-site ReSubmission Medical Claims role based in Cairo. The role focuses on reviewing denied or rejected medical claims, identifying reasons for non-approval, and preparing accurate resubmission documentation in line with payer and regulatory requirements. Responsibilities include verifying patient and treatment information, ensuring proper coding and billing details, and coordinating with medical and administrative staff to obtain missing or corrected data. The role involves communicating with insurance providers to clarify claim issues, tracking the status of resubmitted claims, and maintaining detailed records and reports on claim outcomes. The ReSubmission Medical Claims team member supports continuous improvement of claims processes to reduce denials and enhance revenue cycle performance.
Qualifications

• Foundational knowledge in Medicine and clinical processes relevant to medical claims.
• Awareness of specialized areas such as Cardiology and Orthopedic Surgery to understand documentation and treatment details.
• Basic understanding of Treatment pathways and Neurology-related services to interpret medical records accurately.
• Experience or training in medical billing, coding, or health insurance claims handling.
• Strong attention to detail, analytical skills, and ability to work with large volumes of data and documentation.
• Proficiency in using medical claims or hospital information systems and common office software tools.
• Effective communication skills to collaborate with clinical teams and liaise with insurance representatives.
• Relevant diploma or degree in healthcare administration, medical records, nursing, or a related field preferred.