Claims Officer

Ensures through his/her actions, that a superior quality of Claims are submitted and within the acceptable time period.

Conveys training sessions for new Claims Coordinators.

Reviews ER/OPD discrepancies and communicating with respected departments.

Checks the claim form received if the ID copy attached is correct.

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

Suggests new computer functions to improve the section performance.

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

Performs additional tasks and duties as assigned by superiors.

Reporting to

·         Claims Manager

Supervises

·         None

Qualifications:

Education:

Preferably College Graduate/Bachelor of Science in Business Administration, Major in Management.

Experience:

A minimum of:

Two (2) year experience in Claims processing field.

English and Arabic speaking and typing.

Computer literate (MS Office)

Familiar with Medical Terminology

Expert in Payers regulations