Medical Insurance Senior Specialist- Riyadh

Nahdi · Saudi Arabia, Riyadh Province, Saudi Arabia

Location

Saudi Arabia

Job Type

Full-time

Posted

July 09, 2026

Job Description

This role will be leading and managing the medical approvals, insurance claiming and Billing process with insurance companies and credit corporate sales accounts. Also working to minimize the rejections and collect payments within due dates to improve polyclinic profitability. 
Accountabilities
Medical Insurance Head Working on instant approvals for insurance guests, analyzing day to day data in order to improve the claiming process and operations.
Reviewing and verifying the claims and all the required data/information. 
Verifying and checking the reports matching with “waseel” insurance companies’ systems (Tawuniya, DHS and Bupa).
Communicating and negotiating with insurance companies in case of claims rejections to minimize it before reconciliations.
Experience with healthcare provider in insurance will be an added point. 
Reviewing patient records using medical coding procedures.
Examine claims, verify in...
        

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