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Approval Senior Specialist

MEAHCO - Saudi German He...
Katameya, Cairo
MEAHCO - Saudi German Health logo

Approval Senior Specialist

Katameya, Cairoposted 23 days ago

Job Details

Experience Needed:
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Job Description

  • Monitor rejection rates, identify common issues and work on developing appropriate plans to decrease rejection rates.
  • implement reporting systems to provide accurate and timely consolidated reports related to insurance amounts standings to meet the needs of SGH and facilitate follow-up activities.
  • Monitor RCM Specialist claims activity collection and ensure execution as per agreed terms and timing with the insurance.
  • Review and submit all approvals on-time.
  • Review the documentation of all approval requests to ensure the accuracy and completeness of working papers, analysis, and results to support findings and recommendations.
  • Provide insurance companies with requests on time and getting approvals from them also follow up all pending requests.
  • Commit with submitting all requests in the due time

Job Requirements

  • Not less That 3 years of experience in Approvals
  • Medical Educational background
  • Very Good Knowledge about CHI and KSA Market
  • High level of leadership and Communication Skills
  • Experience with KSA Market will be an Asset
  • Ex health insurance companies is Mandatory

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