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Auditing and Resubmission Supervisor - Medical Insurance

Al Ahly Medical Company
Giza, Giza
Posted 6 years ago
119Applicants for1 open position
  • 71Viewed
  • 10In Consideration
  • 0Not Selected
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Job Details

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Job Description

  • Update the operation procedures based on the policies of the newly added accounts to be aligned with the providers procedures in liaises with Network department and Approval department
  • Update the deduction notes template based on the accounts new requirement or the new polices and procedure to facilitate providing the reasons of the deductions when request
  • Review and discuss with provider the deductions based on the provider request to reach the reasons for resubmission upon request.
  • Liaises with the reconciliation department to assist in all cases requiring a medical review

Job Requirements

  • BSc in Medicine or Pharmacy
  • 4 - 6 Years of Experience
  • MS Office Suite

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