For MedNet Jordan Co. W.L.L.

MedNet Jordan is one of the leading managed care service organizations that caters to healthcare needs. We are currently seeking to hire Officer - Medical (on Hybrid working modules basis) with the following tasks and responsibilities:

Your job

• Authorization for in-hospital cases in respect of medical necessity and appropriateness.

• Evaluation & approval of outpatient claims need authorization in respect to the medical necessity and appropriateness and check them on the system to ensure high quality and correct services.

• Manage queries from providers, Insurance Companies and insured members relating to authorization, evaluation and administration.

• Responding to all international accounts requests and all inquiries from insurance companies.

• Medical Updating of the Medical File related to insured members regarding their investigations results like MRI, CT scan, etc....

• Filling of Medical Documents.

• Any other tasks assigned by Direct superior /Head of department.

• Deliver excellent customer services to Insurance Companies and insured members with view of achieving maximum client satisfaction.

Your profile:

• Bachelor Degree in Nursing Science or Doctor of Pharmacy.

• From 2 - 4 years' experience in his/her education field.

• Experience in claims management in the insurance industry or a TPA/MSO company would be a plus.

• Computer literacy (MS Office, Excel, PowerPoint)

• Knowledge related to medical terminology

• Good Command in English language.

• Industry knowledge related to local healthcare services system would be a plus.

• Good interpersonal and negotiation skills

• Analytical and problem solving skills