Medical Claims Specialist in Nasr City 2019 دوام كامل

We are Hiring : Medical Claims Specialist

Location : Nasr City
Education : Medicine – Vet – Dent
Industry : Healthcare
Skills : Computer/English/Analytical /Communication

RESPONSIBILITIES:
• Reviews claims to ensure they are processed correctly and in a timely manner
• Examines patient information online and through reports to audit all types of claims
• Ensured claims are processed in accordance with provider contracts, member benefits, authorization and regulatory requirements
• Completes daily, weekly and monthly claims report to summarize findings regarding the number of errors, types of errors, reasons for errors and recommends corrective action
• Responsible for evaluation of medical records and claims it patient to fraud, waste and abuse, with review of medical documentation ad claims to guarantee proper coding rules and procedures
• Complete proactive record review using knowledge of medical procedures, insurance companies, policies, coding guidelines, etc.
• Prepare reports submissions to doctors management and concerned stuff .

send your cv : mu.hrms@gmail.com
Subject : Medical Claims Specialist