Outpatient Claims Adjuster At Globemed Egypt|Pharmaceutical Sciences / related medical background
#Outpatient Claims Adjuster
Is required for #Globemed Egypt
-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.
-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: