Claims Coordinator - 02

Riyadh, Saudi Arabia Posted 2024/06/05 10:18:29 Expires 2024-08-04 Ref: JB1100048986

Job Description

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.





  • English and Arabic speaking and typing.



  • Computer literate (MS Office)



  • Familiar with Medical Terminology



  • Expert in Payers regulations



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Job Details

Job Location Riyadh, Saudi Arabia
Job Role Administration
Employment Type Employee
Number of Vacancies 1

Preferred Candidate

Career Level Entry Level

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