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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