Claims Management Processor – Qatar

Job Title: Claims Management Processor – Qatar
Location: Doha, Qatar
Job Type:Full Time Employee
Category:Medical, Healthcare, Nursing
Description: Claims Management:
  • Ensures that insurance claims information is entered into the system correctly
  • Ensures that provider’s fees and service items charges coincide with their existing contract price list.
  • Ensures the accuracy of the entered data as per the existing standard steps and procedures of direct claims processing.
  • Compares data on claims applications.
  • Screens claim documents and process claim adjustment.
  • Ensures Payment Orders are properly created and forwarded accordingly for final documentation and filing.
  • Adaptability in various work-related tasks to be able to facilitate a multi-tasking role.

Filing/Monitoring:
  • Stands as a reference person for information on inquiries concerning claims processing procedures.
  • Monitors correct application of beneficiary share accordingly on service items billed.
  • Makes sure that claims are properly audited of all data entered with accurate medical claims details.
  • Notes all discrepancies during the course of the system process are properly forwards and notifies to immediate supervisors.
  • Provide requisition of office supplies for Individual and Team requirement.

Other Duties:
  • Researches claims as needed
  • Obtains and audit medical records to compute and record patient charges.
  • Performs other related duties incidental to the work described herein.
Qualifications:
  • Bachelor’s Degree; Paramedical background preferred.
  • 2+ years filing/documentation experience. Experience within the Health Care Industry, TPA’s, insurance companies, Hospitals, Medical Centers is a plus.
  • Applicants who are currently in Qatar will be considered
Salary:Unspecified
Contact:

Collected from:

Posted in Healthcare Medical Nursing