Medical Claims Processor

Total Care Egypt -
Maadi, CairoPosted 5 years ago

246Applicants for10 open positions

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Professional Summary

Hard working and self - motivated medical claims processor available to offer professionalism and thoroughness to a medical care company in need.

A medical claims processor validates the information on all medical claims from patients seeking payment from their insurance company. Claims must be thoroughly reviewed to ensure that there is no missing or incomplete information. In addition, a processor must keep meticulous records of claims and follow up on lapsed cases.
Medical claims processors are expected to have an extensive knowledge of medical terminology, as well as experience using a computer. Since medical claims processors must approve or deny payment to doctors, it is vital that they know how to correctly read and assess medical documents. Good communication skills are necessary to converse with doctors' offices or insurance companies if there is a problem with the claim.

Core Qualifications

Good experience in using MS Office Applications ( Excel, Word, Power Point )
Knowledge of medical terminology useful in reading medical reports and determining coverage or able to learn
Intelligent in mathematics and accounting and how they apply to medical claims
Determine the amount of claim a hospital or service provider should receive according the procedure done and the coverage on the account
Efficient in time management

Education Requirements For a Medical Claims Processor