Claims Coordinator "Makkah"
Talentera | تالنتيراJob Description
Job Summary The Claims Coordinator is responsible to process claims for all patients. In addition to some supervisory tasks as per assignment. Major Duties and Responsibilities - Ensures through his/her actions, that a superior quality of Claims are submitted and within the acceptable time period. - Conveys training sessions for new Claims Coordinators. - Reviews ER/OPD discrepancies and communicating with respected departments. - Checks the claim form received if the ID copy attached is correct. - Reports the unadjusted and un-entered medical services to Manager of claims notification of excluded services for the newly contracted companies. - Suggests new computer functions to improve the section performance. - Receives answered approvals from PSD, the Admission office and the Billing department. - Performs additional tasks and duties as assigned by superiors. Reporting to Claims Manager Qualifications: Education: Preferably College Graduate/Bachelor of Science in Business Administration, Major in Management. Experience: A minimum of: (3) year experience in Claims processing field. Competencies & skills: - English and Arabic speaking and typing. - Computer literate (MS Office) - Familiar with Medical Terminology - Expert in Payers regulations