OPD claims specialist

Job Title:OPD claims specialist
Experience:2 to 3
Location:Egypt, Cairo
Category:Medical/Healthcare, Pharmaceutical
Description:

 

1. Technical review of claims according to insurance rules (approval, Investigation results, Documentations, etc..).

 

2. Proper implementation of policy agreements on claims in collaboration with the billing team.

 

3. Reporting the missed services that had been done to the patient but not billed.

 

4. Follow up with the technical team on claims production.

 

5. Adherence to monthly claims closing plan

Qualifications:

-B.Sc. Degree in Medical, Pharmacy, Science

– +2 Years Previous experience in insurance companies (KSA experience is a plus).

 

-Previous experience in Technical claims auditing.

 

-Microsoft excel and outlook proficient.

 

-Good knowledge of proper clinical documentation.

 

Contact:

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Posted in Medical/Healthcare Pharmaceutical