Medical Claims Audit....
Medical Claims Auditor
Posted on :
03-07-2021
Employer Active
10 Vacancies
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Job Description
Req ID : 653996
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 Supervisor.
- Formulate and handle exceptions of claims.
- Report to CPD manager any irregularity noticed during the audit and/or closing of claims.
Job Requirements
- Bachelor'sdegree in Pharmacy is a #MUST.
- From 1-3 years of experience intheMedical insurance industry / #Claimsis a #MUST
- Details oriented, Time management & Team-players.
- Males are preferred (Military Service should be exempted/completed)
- Very Good English Language skills are required.
- Strong communication skills.
Employment Type
Full Time
Company Industry
Department / Functional Area
Key Skills
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