Qureos Mentor

MedNet Global Healthcare Solutions LLC

<div>
 
 As a member of Munich Re the MedNet Group is a leading Third-Party Administrator across the MEA region. We are currently seeking to hire a Medical Reviewer - Medical Care Unit, who will be responsible to provide services related to medical evaluations/authorizations for (in-patient &amp; outpatient) insured members/providers and handle queries relating to pre-approvals.
 
 
 
 
 
 
 Your Role:
 
 
 <ul>
 <li>
 Evaluate and assess the healthcare needs of clients, including reviewing medical records, insurance policies, and treatment plans by active collaboration with healthcare providers and clients.
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 Assess risk exposure of members in line with medical underwriting policies.
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 Evaluate case to achieve optimum member&rsquo;s satisfaction, adhere to strict TATs and manage cost-containment via prescribed maneuvers like DRG debates
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 Quick and accurate management of queries from Providers, Insurance Companies and Insured members relating to approvals
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 Provide medical guidance to the Claims Department staff and assistance in accurate coding, Add-on/LTC reviews.
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 Deliver excellent customer service to Insurance Companies and insured members with a view of achieving maximum client satisfaction.
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 Case Management/attending hospital visits to investigate claims to minimize fraud and abuse.
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 Compile data and prepare monthly statistical reports to monitor departmental performance and medical trends.
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 </ul>
 
 
 
 
 
 Your Profile:
 
 
 <ul>
 <li>
 Medical Degree (MBBS or equivalent) from a school recognized by the WHO.
 </li>
 <li>
 2-3 years of experience in Medical Claims Evaluation/In-Patient Approvals/Case Management preferably from TPA / MSO organization in Insurance sector.
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 Certified Medical Coder (CPT/ICD/DRGs) with relevant experience in DRG debates and Severity negotiations
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 Industry knowledge related to local healthcare services system.
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 </ul>
 
 
 
 
 
 *Munich Re not only stands for fairness with regard to its clients; it is also an equal opportunities employer.
 
 
</div>

Medical Reviewer

<div>
 
 
 Onboarding Officer
 
 
 
 As a member of
 
 Munich Re
 
 the
 
 MedNet Global Health Care Solutions L.L.C.
 
 is one of the leading managed care service organizations that caters to healthcare needs. We are currently looking for a &ldquo;
 
 Onboarding Officer
 
 Execute onboarding activities by ensuring
 
 accurate collection, validation, and tracking of all required documentation
 
 , acting as a key gatekeeper to ensure smooth and error-free policy implementation.
 
 
 
 
 
 
 Your Job:
 
 
 
 
 Pre-Onboarding Preparation
 
 
 <ul>
 <li>
 Prepare onboarding checklists tailored to each client
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 Review of prior missing or expired documents
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 </ul>
 
 
 Client &amp; Broker Engagement
 
 
 <ul>
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 Conduct onboarding meetings (physical / virtual) with: Brokers, Policyholders &amp; Educate stakeholders
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 Required documentation
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 Onboarding process
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 </ul>
 
 
 Document Collection &amp; Follow-Up
 
 
 <ul>
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 Collect all required onboarding documents (mandatory &amp; conditional)
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 Track and follow up on pending documents
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 </ul>
 
 
 Document Validation &amp; Gatekeeping
 
 
 <ul>
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 Identify and communicate deficiencies (NIGO cases)
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 Ensure all documents meet the agreed standards before submission
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 </ul>
 
 
 Coordination &amp; Handover
 
 
 <ul>
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 Coordinate with internal teams &amp; submit validated cases to Processing team
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 </ul>
 
 
 Status Tracking &amp; Communication
 
 
 <ul>
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 Provide regular updates (every 3 days) to stakeholders
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 Act as single point of contact (SPOC) for assigned cases
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 </ul>
 
 
 
 
 
 Your profile:
 
 
 
 
 Minimum Qualifications and Experience:
 
 
 <ul>
 <li>
 2-3 market experience in EB Operations
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 Excellent coordination and follow-up skills
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 Communication and client handling skills
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 Ability to manage multiple cases simultaneously
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 Problem-solving mindset
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 Basic system proficiency (tracking tools, portals)
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 Good communication skills &amp; command of English
 </li>
 </ul>
 
 
 
 
 
 *Munich Re not only stands for fairness with regard to its clients; it is also an equal opportunity employer.
 
 
 
 
</div>

Onboarding Officer

<div>
 
 We are looking for a Customer Service Officer to join our team and support the delivery of high-quality service to our clients and insured members.
 
 
 In this role, you will be responsible for managing customer inquiries, handling complaints, coordinating with internal teams, and supporting client relationship management to ensure an excellent service experience.
 
 
 
 
 
 Your Job:
 
 <ul>
 <li>
 Respond to customer inquiries and service requests in a timely and professional manner.
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 Manage and resolve customer complaints and follow up until resolution.
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 Support client relationship management and service coordination.
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 Monitor customer feedback and identify opportunities for service improvement.
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 Maintain strong communication with internal teams and external stakeholders.
 </li>
 </ul>
 
 
 
 
 Your Profile:
 
 <ul>
 <li>
 Bachelor&rsquo;s degree or Diploma in a relevant field.
 </li>
 <li>
 3&ndash;5 years of experience in customer service, client relations, or account support.
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 Experience in health insurance, healthcare providers, TPA, or insurance sector is preferred.
 </li>
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 Strong communication, problem-solving, and stakeholder coordination skills.
 </li>
 </ul>
 
 
 
 
 
 *Munich Re not only stands for fairness with regard to its clients; it is also an equal opportunity employer.
 
 
 
 
</div>

Customer Service Officer (MedNet Bahrain)

Join MedNet Global Healthcare Solutions LLC and explore 3   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

MedNet Global Healthcare Solutions LLC

About Company

Medical Reviewer

Onboarding Officer

Customer Service Officer (MedNet Bahrain)