Medical Approvals Officer

2 days ago


Cairo, Cairo, Egypt Quick agency Full time

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.



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