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  • Medical Assessor - Outpatient Precertification

     ...Performing review of claims as per CPT and ICD coding guidelines in line with insurance regulators (DHA,DOH/HAAD,MOH). •Adheres to cost‑containment protocols by ensuring outpatient services are medically justified, appropriately billed, and aligned with network rules and... 

    NEXtCARE Bahrain Ancillary

    Manama
    more than 2 months ago

  • Field doctor - Lead role

     ...required out-put of high cost claims with detailed insight of claim on day to day basis. •Adhering to the case management and cost containment protocols for elective high cost cases and medical management cases. •Referring cases for second opinion when deemed necessary... 

    NEXtCARE Bahrain Ancillary

    Manama
    more than 2 months ago