MEDICAL CLAIMS ANALYST. at Johns Hopkins Aramco Healthcare

Dhahran, Eastern Province, Saudi Arabia -

Full Time

Start Date

Immediate

Expiry Date

17 Jan, 26

Salary

0.0

Posted On

19 Oct, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claims Adjudication, Trend Analysis, Clinical Knowledge, Policy Knowledge, Data Pattern Recognition, Self-Auditing, Provider Dispute Resolution, Workflow Optimization, Healthcare Administration, Billing Investigations, Accounts Receivable, Billing Statement Preparation, Arabic Language, English Language, Process Improvement, Resource for Junior Staff

Industry

Hospitals and Health Care

Description

Job Title MEDICAL CLAIMS ANALYST Job Family Function Corporate Job Code 30009906 Reports to Job Unit Manager Job Description Summary Independent contributor role focused on specialized claims adjudication and pattern recognition. Responsible for handling trend-based claims while identifying process improvements and serving as a resource for junior staff. Strategic Roles & Responsibilities % 5% Strategic Roles & Responsibilities Identify emerging claim patterns and propose minor process improvements Contribute to workflow optimization through trend analysis Operational Roles & Responsibilities % 95% Operational Roles & Responsibilities Independently review specialized and trend-based medical/dental claims Apply clinical and policy knowledge to complex scenarios Identify patterns in claim data and propose process improvements Conduct self-audits on 10% of own work for accuracy against clinical guidelines Draft initial responses to provider disputes for supervisor review Serve as resource for Level 1 staff on common claim scenarios Maintain expertise in current policy and clinical guidelines Minimum Education Required Bachelor degree in healthcare administration, business, or related field preferred Professional Certifications Required - Years of Experience 2-4 years of claims processing experience in healthcare or insurance Languages Arabic : Advanced English : Advanced Functional Competencies Accounts Receivable Billing Investigations Billing Statement Preparation Core Competencies Excellence Integrity Accountability Cybersecurity Person-Centered Care Acknowledgement Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Addendum Title Supplemental Work/Experience/Education Information Addendum Description

Responsibilities

The Medical Claims Analyst is responsible for independently reviewing specialized and trend-based medical and dental claims while identifying patterns and proposing process improvements. This role also involves serving as a resource for junior staff and maintaining expertise in current policy and clinical guidelines.