OPD Claims Specialist
Nasr City, CairoPosted 3 years ago112Applicants for1 open position
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Job Details
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Job Description
- Technical review of claims according to insurance rules (approval, Investigation results, Documentations, etc..).
- Proper implementation of policy agreements on claims in collaboration with the billing team.
- Reporting the missed services that had been done to the patient but not billed.
- Follow up with the technical team on claims production.
- Adherence to monthly claims closing plan
Job Requirements
- B.Sc. Degree in Medical, Pharmacy, Science
- +2 Years Previous experience in insurance companies (KSA experience is a plus).
- Previous experience in Technical claims auditing.
- Microsoft excel and outlook proficient.
- Good knowledge of proper clinical documentation.