Medical Claims Auditor - Pharmacist

GlobeMed Egypt - Maadi, Cairo

76
Applicants for
2 open positions
36
Seen
21
Shortlisted
9
Rejected
Experience Needed:
1 to 2 years
Career Level:
Experienced (Non-Manager)
Job Type:
Full Time
Salary:
Negotiable
Vacancies:
2 open positions
Gender:
Males Only
About the Job
  • The Claims Auditor will be responsible of performing technical audit on medical claims and ensure an appropriate application of contracts.
  • Audit of invoice, if it is under his responsible area.
  • Coordination with other adjusters for distribution of the claims.
  • Escalation of any problematic area to Supervisor.
  • Formulate and handle exceptions of claims.
  • Report to CPD manager any irregularity noticed during the audit and/or closing of claims.
Job Requirements
  • Holding a bachelor degree of Pharmacy.
  • 1-2 years of experience in community pharmacies or any other related field.
  • Previous experience in TPA or insurance companies will be a big plus.
  • Details oriented.
  • Males only can apply.
About this Company

Being one of the first organizations to introduce the Third Party Administrator (TPA) model in the region, GlobeMed combines over 21 years of multifaceted know-how, technical expertise, and information technology to provide well-tested solutions in the management of healthcare... (More)

Industry: Insurance
See all Careers and Jobs at GlobeMed Egypt
Pharmaceutical Jobs in Egypt
Hiring?
Signup for an employer account and Post your Jobs!