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Job Description
◾️Responsibilities
▪️Maintain daily reconciliation processes and all action needed at hospital and client level
▪️Reconciliation meetings with clients to discuss and finalize account rejections
▪️Adhering to resubmission documentation during usual reconciliation process
▪️Preparing resubmission reports to ensure accurate rejection recovery.
. ▪️Preparing for regularly reconciliation committee meetings in coordination with finance team to enhance the hospital reconciliation progress.
▪️Implementing cross audit with claim audit team to ensure accurate rejection analysis
▪️Works to prepare processes and reconciliation dashboards to ensure quality and accuracy.
▪️Contract and discount setup review
Job Requirements
- Bachelor's degree of medicine
- 3 years of working experience in claims operations/healthcare
- Ability to establish a high-performance management culture
- Excellent interpersonal, communication