In this paper, we demonstrate the system submitted to the shared task of medical text classification in Arabic. We proposed a single-model approach based on fine-tuned LLM-based embedding combined with hierarchical classical classifiers, achieving a competitive macro F1-score of 0.46 on the blind test set. We explored various modeling strategies, including tree-based ensembles, LLM, and hierarchical correction for rare classes, highlighting the effectiveness of domain-specific fine-tuning in low-resource settings. The results demonstrate that a single fine-tuned Arabic BERT variant can serve as a strong baseline in extreme imbalance scenarios, outperforming more complex ensembles in simplicity and reproducibility.