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Medical Claims Auditor (physicia...

Mersal
Maadi, Cairo

Medical Claims Auditor (physicians only)

Maadi, CairoPosted 2 months ago
159Applicants for1 open position
  • 129Viewed
  • 9In Consideration
  • 87Not Selected

Job Details

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Job Description

  • Performing technical audit on medical claims.
  • Auditing of invoice and Ensuring that all the medical bills are within the contracted price list and the approval criteria according to Mersal policy.
  • Justifying the rejection reasons on system in rejection cases to facilitate the reconciliation process.
  • Ensuring the best service given to the patients by providers.
  • Report to the direct manager any irregularity or problems noticed during the audit and/or closing of claims.
  • Prepares reports by collecting, analyzing, and summarizing information of the reviewed claims to assess the quality of our payment and create a cost effective solution.
  • Coordinate workflow & meet deadlines.

Job Requirements

  • Bachelor's Degree in Medicine and Surgery.
  • Minimum of 1-3 years of experience in reviewing medical claims.
  • Details oriented, Time management & Team-players.
  • Strong communication skills.
  • Working knowledge of the MS Office suite (Word, PowerPoint & Excel).
  •  Previous experience in the field of NGOs will be an added advantage.

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