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إنتهت صلاحية هذا الإعلان الوظيفي لقد إنتهت صلاحية هذا الإعلان الوظيفي و هو غير مفتوح حاليا لأي طلبات عمل.

إرفاق

Claims Coordinator - 02

الرياض, السعودية تم النشر 2024/06/05 10:15:41 الرقم المرجعي: JB1100048986

وصف الوظيفة

Job Summary   

The Claims Coordinator is responsible for the timely processing of claims for all patients.

Major Duties and Responsibilities

 

  • Accurately provide information to all incoming inquiries regarding claims, disputes, claim information, procedures, and regulations.

 

 

  • Review claim requests and respond within established service level agreements

 

 

  • Assists in managing departmental claim activities to ensure that payouts are adjudicated in an accurate and efficient manner

 

 

  • Effectively ensure that detailed electronic records are maintained by accurately documenting all actions taken.

 

 

  • Meeting measurable department standards as they relate to call quality, claim accuracy and efficiency measures as well as meeting teamwork, ownership, and professional development goals

 

 

  • Reviews ER/OPD discrepancies and communicating with respected departments.

 

 

  • Reviews the received claim forms if the ID copy attached is correct and form is complete.

 

 

  • Reports the unadjusted and un-entered medical services to Manager of claims notification of excluded services for the newly contracted companies.

 

 

  • Receives answered approvals from PSD, the Admission office and the Billing department.

 

 

  • Takes ownership of customer claims by following requests through to completion and notifying appropriate personnel if problems exists.

 

 

  • Display actions that align with our Vision, Mission, and Values

 

 

  • Performs additional tasks and duties as assigned by superiors.

 

المهارات

 

 

  • English and Arabic speaking and typing.

 

 

  • Computer literate (MS Office)

 

 

  • Familiar with Medical Terminology

 

 

  • Expert in Payers regulations

 

 

تفاصيل الوظيفة

مكان الوظيفة الرياض, السعودية
الدور الوظيفي إدارية
نوع التوظيف موظف

المرشح المفضل

المستوى المهني مبتدئ الخبرة

وظائف ذات صلة

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