القائمة الرئيسية

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Outpatient Claims Adjuster At Globemed Egypt|Pharmaceutical Sciences / related medical background

 Outpatient Claims Adjuster At Globemed Egypt|Pharmaceutical Sciences / related medical background


Outpatient Claims Adjuster At Globemed Egypt|Pharmaceutical Sciences / related medical background


#Outpatient Claims Adjuster

Is required for #Globemed Egypt


Job Description:

-Performing technical audit on medical claims

-Justifying the rejection reasons on the system in rejection cases to facilitate the reconciliation process.

-Proper implementation of agreements on claims in collaboration with the audit and processing team

-Audit of the invoice, if it is under his job responsibilities.

-Coordination with other adjusters for distribution of the claims

-Escalation of any problematic area to the Supervisor.

-Formulate and handle exceptions of claims.

-Report to CPD manager any irregularity noticed during the audit and/or closing of claims.


Requirements:

-Bachelor's degree in Pharmaceutical Sciences or related medical background from a Reputable University is a #MUST.

-From 1-3 years of experience in #Claims is a #Must

-Detail-oriented, Time management & Self-motivated competencies are required.

-Good to Very Good English Language skills are required.


If you are interested, kindly send your updated resume to:

Craafat@GlobemedEgypt.com

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