Medical Claims Officer
2 weeks ago
Key Responsibilities
- Process outpatient claims daily in adherence to medical policies and guidelines.
- Review claims data (physical and electronic) to ensure accuracy and compliance with operational checklists.
- Maintain accuracy rate in quality audits and meet daily processing targets.
- Identify unusual provider patterns and escalate potential fraud to the Supervisor of Medical Claims and Special Investigations Unit (SIU).
- Collaborate with senior staff on complex claims cases to ensure sound medical decisions.
Qualifications
Education:
- Bachelor's degree in Dental, Physiotherapy, Pharmacy, or a related medical field.
Experience:
- A minimum of 2 years in health insurance is preferred.
- Fresh graduates with relevant educational backgrounds are encouraged to apply.
Skills
- Strong analytical, quantitative, and problem-solving skills.
- Excellent communication, interpersonal, and organizational abilities.
- High level of self-motivation and a proactive approach to challenges.
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