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Medical Claims Auditor - Pharmacist

GlobeMed Egypt
Maadi, Cairo
Posted 8 years ago
76Applicants for2 open positions
  • 37Viewed
  • 22In Consideration
  • 9Not Selected
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Job Details

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Job Description

  • The Claims Auditor will be responsible of performing technical audit on medical claims and ensure an appropriate application of contracts.
  • Audit of invoice, if it is under his responsible area.
  • Coordination with other adjusters for distribution of the claims.
  • Escalation of any problematic area to Supervisor.
  • Formulate and handle exceptions of claims.
  • Report to CPD manager any irregularity noticed during the audit and/or closing of claims.

Job Requirements

  • Holding a bachelor degree of Pharmacy.
  • 1-2 years of experience in community pharmacies or any other related field.
  • Previous experience in TPA or insurance companies will be a big plus.
  • Details oriented.
  • Males only can apply.

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