Officer - Authorization

MedNet Jordan is one of the leading managed care service organizations that caters to healthcare needs. We are currently seeking to hire an Officer – Authorization (on Hybrid working modules basis) with the following tasks and responsibilities:

Your Job

Medical Claims Evaluation:

·       Authorization for in-hospital cases in respect of medical necessity and appropriateness.

·       Evaluation & approval of outpatient claims need authorization in respect to the medical necessity and appropriateness and check them on the system to ensure high quality and correct services.

·       Chronic soap evaluation, issue, checking, sign & stamp.

Business Correspondence

·       Manage queries from providers, Insurance Companies and insured members relating to authorization, evaluation and administration.

·       Responding to all international accounts requests and all inquiries from insurance companies.

 Client Servicing

·       Deliver excellent customer services to Insurance Companies and insured members with view of achieving maximum client satisfaction.

Administrative Services

·       Medical Updating of the Medical File related to insured members regarding their investigations results like MRI, CT scan, etc....

·       Filling of Medical Documents.

·       Any other tasks assigned by Direct superior /Head of department.

Your Profile

·       Bachelor Degree in Nursing Science, Pharmacy, Paramedical certificate.

·       From 2 - 4 years' experience in his/her education field.

·       Experience in claims management in the insurance industry or a TPA/MSO company would be a plus.

·       Good interpersonal and negotiation skills

·       Excellent written and verbal communication skills

·       Analytical and problem-solving skills

·       Ability to handle stress and work under pressure.

·       Client Centricity approach

·       Solution Oriented.

·       Proactive approach