Medical Approvals Officer
2 days ago
Job Vacancy – Medical Approvals Officer
Location: 6th of October – El Hosary
A Leading Medical Company
We are looking for a Medical Approvals Officer to join our team. The ideal candidate should have strong knowledge of medical terminology, insurance approvals, and claims guidelines.
⸻
Key Responsibilities:
• Review medical requests and ensure they meet insurance and CHI/NPHIES guidelines.
• Evaluate medical necessity and issue approvals according to policies.
• Coordinate with doctors and insurance companies to verify information.
• Detect and report any cases of fraud, waste, or abuse.
• Ensure accurate documentation and timely processing of approvals.
⸻
Requirements:
• Bachelor's degree in Pharmacy, Medicine, Nursing, or related field.
• Minimum 2–3 years of experience in medical approvals within the Saudi healthcare/insurance sector.
• Strong understanding of CHI / NPHIES guidelines.
• Excellent communication and problem-solving skills.
-
Medical Approval Team Leader
2 days ago
New Cairo, Cairo, Egypt MedNet Egypt L.L.C Full timeMedNet Egyptis one of the leading managed care service organizations that caters to healthcare needs. We are looking for a skilledMedical Team Leaderwho will manage and direct the approvals team (Inpatient/ Outpatient or both) to assure that all requests are assessed & completed accurately in terms of Quality & SLA according to scope of coverage and medical...
-
Medical approval doctor
6 days ago
Cairo, Cairo, Egypt Egycare Healthcare Full timeWE ARE HIRINGJob Description:A Medical Approvals Doctor responsible for reviewing and responding to medical requests and inquiries from insured members and healthcare service providers in accordance with established standards and procedures.Qualifications:• Bachelor's degree in Medicine & Surgery (M.B.B.Ch)• 0–1 year of experience• Fresh graduates...
-
approval admin
2 days ago
Cairo, Cairo, Egypt Med Right For Medical Se... Full timeKey Responsibilities Monitor and manage incoming tickets or requests from providers and patients throughthe ticketing system. Accurately assign tickets to the appropriate service section (e.g., Chronic, Outpatient,Inpatient). Categorize requests into relevant workstreams such as Approvals, Provider RelationsOfficer, Exception Cases, or others as required....
-
Medical Approval Officer
2 weeks ago
Cairo, Cairo, Egypt Marriott International Full time 15,000 - 30,000 per yearAdditional InformationJob Number Job CategoryHuman ResourcesLocationCairo Marriott Hotel, 16 Saray El Gezira Street, Cairo, Egypt, Egypt, 11211ScheduleFull TimeLocated Remotely?NPosition Type Non-ManagementHuman Resources CoordinatorCreate and maintain filing systems. Create and type office correspondence using a computer. Distribute and route mail. Order...
-
Senior Medical Officer
2 weeks ago
Cairo, Cairo, Egypt MedNet Egypt L.L.C Full time 90,000 - 120,000 per yearMedNet Egyptis one of the leading managed care service organizations that caters to healthcare needs. We are looking for a skilledSenior Medical Officerwho will evaluate medical authorizations and provide decisions for outpatient services mainly through online, faxes, emails and phone calls and will assist our service providers with their inquiries.Your...
-
Medical claims Officer
2 days ago
Cairo, Cairo, Egypt AZGROUPPROD Full timeSummary:Medical Claims officer provides quality service to clients, promptly and effectively assesses and process claims and approval according to operations set standards. Senior Medical Claims officer is also responsible for team success by agreeing, implementing and monitoring individual and teamobjectives and targets ensuring company policies and...
-
Medical claims Officer
2 days ago
Cairo, Cairo, Egypt Nextcare Full timeSummaryMedical Claims officer provides quality service to clients, promptly and effectively assesses and process claims and approval according to operations set standards. Senior Medical Claims officer is also responsible for team success by agreeing, implementing and monitoring individual and teamobjectives and targets ensuring company policies and...
-
Senior Medical Claims Officer
2 weeks ago
Cairo, Cairo, Egypt Nextcare Full time 120,000 - 240,000 per yearDescriptionSenior Medical Claims officer provides quality service to clients, promptly and effectively assesses and process claims and approval according to operations set standards.Senior Medical Claims officer is also responsible for team success by agreeing, implementing and monitoring individual and team objectives and targets ensuring company policies...
-
Senior Medical Claims Officer
6 days ago
Cairo, Cairo, Egypt AZGROUPPROD Full timeDescription:Senior Medical Claims officer provides quality service to clients, promptly and effectively assesses and process claims and approval according to operations set standards.Senior Medical Claims officer is also responsible for team success by agreeing, implementing and monitoring individual and team objectives and targets ensuring company policies...
-
Medical Recruiter
1 week ago
Cairo, Cairo, Egypt Rama Medical Group Full time 30,000 - 60,000 per yearCompany DescriptionRama Medical Group is a leading healthcare provider specializing in dentistry and dermatology, with operations primarily in Saudi Arabia. The organization manages 36 dental centers and five subsidiaries, making it one of the largest dental groups in the western region. With a commitment to innovation, advanced technology, and tailored...