Job Description
Black & Grey HR is working with one of the largest fully independent TPAs in the Middle East focusing entirely on healthcare benefits management. Our client is actively looking to hire a Medical Officer (MBBS/MD) for its business in Kuwait.
Job Responsibilities:
Assess day care and in-patient cases as per medical justification and policy coverage.
Issuing day care and in-patient cases for medically justified cases in line with the policy.
Escalate and confirm grey-area cases. Confirming of exclusions of borderline cases OP/IP.
Sending request of confirmation and notification to corresponding payers as needed.
Responding to payer’s queries in relation to day-care and Inpatient cases.
Responding to the payer’s request for advice on coverage of cases.
Conformity of assessment for the prescribed tests/medications/investigations/clinical
Contacting provider for queries and clarifications.
Educational Qualification:
Doctor (MBBS degree/ MD degree)
Experience required:
2 – 3 years’ experience in the healthcare industry/hospitals is preferable, but not mandatory
Basic knowledge of healthcare/ insurance industry.
Other requirements:
Should be a team player with a passion for customer service
Must be service oriented
Excellent oral and written communication skills
Must be computer literate.
Excellent command of the English language, Arabic is a plus
Candidates who are currently on Kuwait residence visa / transferable will be preferred.
When uploading your CV please ensure it is saved in a Word format. All CV’s are treated with the utmost confidentiality and will not be forwarded without your prior permission. However, we regret that due to the number of applications received each day we are only able to contact those applicants who are shortlisted.
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