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Job Description
- Auditing, reviewing and negotiating suspended, pending and rejected claims from insurance companies to accelerate payments, control DOS, and minimize rejections.
- Following up with case managers, medical departments, supply chain and finance to prepare and submit required documentation needed to justify suspended and rejected claims.
- Reporting and following up with the hospital departments as well as case management and approval teams regarding insurance requirements, instructions and reasons of rejections to be avoided going forward .
Job Requirements
- Bachelor of Medicine .
- Experience of 1 to 3 years is preferred in the field of medical audits.
