CAREERS

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Vacancies

The Processing Officer evaluates more complex data entry, clerical, and accounting tasks involved in the preparation and processing of patient insurance claims, and supervises the releasing team with regards to productivity and efficiency.

Egypt
Claims Management Department
Key Responsibilities:
  • Ensures that insurance claims information is entered into the system correctly to ensure accurate processing and timely payment
  • Ensures that provider’s fees and service items charges coincide with their existing contract price list
  • Ensures the accuracy of the entered data as per the existing standard steps and procedures of direct claims processing
  • Compares data on claims applications
  • Screens claim documents and processes claim adjustment
  • Ensures Payment Orders are properly created and forwarded accordingly for final documentation and filing
  • Ensures adaptability in various work-related tasks to be able to facilitate a multi-tasking role
  • Ensures that a high-quality standard of work performance is achieved at all times
  • Filing/Monitoring
  • Stands as a reference person for information on inquiries concerning claims processing procedures
  • Monitors correct application of beneficiary share accordingly on service items billed
  • Makes sure that claims are properly audited and all data is entered with accurate medical claims details
  • Notes all discrepancies during the course of the system process, and promptly forwards and notifies immediate supervisors
  • Provides requisition of office supplies for individual and team requirements
  • Researches claims as needed
  • Obtains and audits medical records to compute and record patient charges
  • Performs other related duties incidental to the work described herein
Key Requirements:
  • Bachelor’s Degree in Science or Veterinary medicine
  • 2+ years filing/documentation experience. Experience within the Healthcare Industry, TPA’s, insurance companies, Hospitals, Medical Centers is a plus
  • Attention to detail and ability to multi-task
  • Organizational and time management skills
  • Excellent team player
  • Ability to meet tight deadlines
  • Ability to work under pressure to tight deadlines
  • Strong communication skills
  • Ability to work well with all levels of internal management and staff, as well as outside clients and users
  • Ability to demonstrate sound work ethics
  • Shows flexibility with excellent interpersonal skills
  • Flexible to work in shifting schedule
  • Demonstrates commitment to produce results
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