Medical Claims Specialist

؜ - ؜مصر ؜ -

تفاصيل الوظيفة

Job Responsibilities:
* Conduct a robust and comprehensive auditing function for all health claims assessed by external claims management companies.
* Monitor and analyses s of health claims data ensuring alignment with base utilization assumptions and market medical services costs.
* Compile and prepare regular MIS reports regarding utilization and Medical provider costs and communicate with clients with high L/R
* Suggest enhancement business procedures ensuring maximum efficiency of processes.
* Reimbursement process handling from submitting claims until delivering payment with regular reports on TAT and transfer ratio
* Develop and implement process for detecting Fraud cases.
* Handling complaints within agreed SLA and reporting them on daily basis


Job Qualifications:
* Medical Degree
* Post graduate degree is a plus


If you are interested in the above mentioned vacancy, please apply now, with
your resume attached

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ملخص الوظيفة

  • المُعلن : Allianz Egypt
  • تاريخ الإعلان : 17/07/2023
  • نوع العمل : -
  • مستوى الخبرة : -
  • المستوى التعليمي : -
  • الراتب : -
  • الهاتف : -
  • البريد الإلكتروني :

    إظهار البريد الإلكتروني

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