Medical Claims Auditor - Pharmacist

GlobeMed Egypt - Maadi, Cairo

190
Applicants for
4 open positions
186
Seen
93
Shortlisted
75
Rejected
Experience Needed:
1 to 2 years
Career Level:
Entry Level
Job Type:
Full Time
Salary:
Negotiable, Social Insurance - Medical Insurance & Overtime
Languages:
English
Vacancies:
4 open positions
Gender:
Males Preferred
About the Job
  • The Claims Auditor will be responsible of performing technical audit on medical claims to ensure an appropriate application of contracts
  • 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 Supervisor.
  • Formulate and handle exceptions of claims.
  • Report to CPD manager any irregularity noticed during the audit and/or closing of claims.
Job Requirements
  • Bachelor degree of Pharmaceutical Sciences from a Reputable University.
  • From 1-2 years of experience in Community Pharmacies or any related field.
  • Details oriented, Time management & Team-players.
  • Males are preferred (Military Service should be exempted/completed)
  • Very Good command of English Language.
  • Full time.
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)

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