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Job Description
- Leading financial auditing or billing team
- Provide daily support to claim staff on claim managing and filing activities.
- Ensure that claim team follows state regulations and standard operating procedures.
- Assist claim personnel in coverage investigation, liability analysis and settlement negotiation.
- Develop best practices to optimize claim processing quality.
- Establish expense reserves for claim investigations.
- Perform claim negotiation and confirm settlement amount.
- Document claim assessment and filing activities accurately.
- Develop professional development plans for employees to improve performance efficiency.
Job Requirements
- Experience : at least 4 years in billing or financial claims auditing in hospitals or insurance company
- Education: preferred to be faculty of commerce
Skills :
- Excellent interpersonal skills.
- Negotiating skills.