Medical Claims Coordinator

Medical Claims Coordinator

Med-Right LLC (Branch 2), Doha, Qatar

Position Overview:
The Medical Claims Coordinator is responsible for managing, reviewing, and processing medical insurance claims accurately and efficiently. The role ensures compliance with insurance policies, company procedures, and healthcare regulations while maintaining smooth coordination between healthcare providers, insurance companies, and patients.

Key Responsibilities:

• Review, validate, and process medical insurance claims in accordance with policy guidelines and coverage limits.
• Ensure all claims submissions are complete, accurate, and supported by required medical documentation.
• Coordinate with hospitals, clinics, and insurance providers to resolve claim discrepancies or missing information.
• Follow up on pending, rejected, or delayed claims and ensure timely resolution.
• Verify patient eligibility and insurance coverage prior to claim submission when required.
• Maintain detailed records of claims activity and update internal systems regularly.
• Communicate effectively with internal departments, healthcare providers, and insurance companies.
• Assist in handling claim audits and compliance checks.
• Ensure adherence to Qatar healthcare regulations and insurance standards.
• Support continuous improvement of claims processing workflows and accuracy.

Qualifications & Requirements:

• Bachelor’s degree in Healthcare Administration, Nursing, Business Administration, or related field.
• Previous experience in medical insurance claims processing (preferably 1–3 years).
• Knowledge of insurance policies, medical coding, and healthcare billing systems.
• Strong attention to detail and accuracy in documentation.
• Good communication skills in English (Arabic is an advantage).
• Proficiency in Microsoft Office and claims management systems.
• Ability to work under pressure and meet deadlines.

Key Skills:

• Medical claims processing
• Insurance verification
• Analytical and problem-solving skills
• Communication and coordination
• Time management
• Attention to detail

Work Location:
Med-Right LLC (Branch 2), Doha, Qatar

نوع الوظيفة: دوام كامل

موقع العمل: بشكل شخصي