Job Details
Experience Needed:
Career Level:
Education Level:
Salary:
Job Categories:
Skills And Tools:
Job Description
- 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.
