Claims Management Processor - Qatar
Doha, Qatar
منذ 2 يوم
source : Tanqeeb

Claims Management :

  • Ensures that insurance claims information is entered into the system correctly
  • 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 process claim adjustment.
  • Ensures Payment Orders are properly created and forwarded accordingly for final documentation and filing.
  • Adaptability in various work-related tasks to be able to facilitate a multi-tasking role.
  • 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 of all data entered with accurate medical claims details.
  • Notes all discrepancies during the course of the system process are properly forwards and notifies to immediate supervisors.
  • Provide requisition of office supplies for Individual and Team requirement.
  • Other Duties :

  • Researches claims as needed
  • Obtains and audit medical records to compute and record patient charges.
  • Performs other related duties incidental to the work described herein.
  • Skills

  • Bachelor’s Degree; Paramedical background preferred.
  • 2+ years filing / documentation experience. Experience within the Health Care Industry, TPA’s, insurance companies, Hospitals, Medical Centers is a plus.
  • Applicants who are currently in Qatar will be considered
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