Medical Claims Auditor

Cleopatra Hospitals Group - Heliopolis, Cairo

188
Applicants for
1 open position
34
Viewed
16
In Consideration
1
Not Selected
Experience Needed:
1 to 3 years
Career Level:
Entry Level
Job Type:
Full Time
Salary:
Confidential
Vacancies:
1 open position
About the Job
  • Performing technical audit on medical claims
  • Justifying the rejection reasons on system in rejection cases to facilitate the reconciliation process.
  • Proper implementation of agreements on claims in collaboration with the audit and processing team
  • Audit of invoice, if it is under his job responsibilities.
  • Coordination with other adjusters for distribution of the claims
  • Escalation of any problematic area to direct manager.
  • Formulate and handle exceptions of claims.
Job Requirements
  • Excellent computer skills, Microsoft office package.
  • Physician Is Must.
  • Strong communication skills.
About this Company

Established in July 2014, Cleopatra Hospitals Group (“CHG”), is a healthcare investment platform with the aim of enhancing the quality and accessibility of healthcare in Egypt. The platform was formed by Abraaj, a leading private equity investor operating in global growth... (More)

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