- To assist in medical claims work flow in the department to ensure efficiency and accuracy of the system entries and documentations.
- To uphold the company’s ethics, operating policies and conform with the department work
instructions.
Handles review and audit of medical claims, evaluates pending claims, reconciliation and
handles pre-authorization requests, assuring excellent customer service.
Resolves queries/issues, manages relationships, pre-authorizations and conveys information of customers, intermediaries and health care providers.
Coordinates with providers to make procedures more cost effective.Assists in
managing pre-authorization business to optimize cost efficiencies and
subject to medical and policy eligibility.
Assists in implementation of medical claims processes, reconciliations protocols and
communicates and clarifies to clients, providers and intermediaries.
Minimizes fraud by conducting provider visits, second opinions and profiles.
Maintains documentation process in relation to providers.
Reviews and audits medical claims and evaluates pending claims.
Assists in any other matters as and when required by the management.
Job Details
| Posted Date: | 2019-03-26 |
| Job Location: | Al Kuwait, Kuwait |
| Job Role: | Medical, Healthcare, and Nursing |
| Company Industry: | Insurance |
Preferred Candidate
| Career Level: | Mid Career |
| Degree: | Bachelor's degree |
To apply for this job click here
Jobs in Kuwait - career in Kuwait - vacancies in Kuwait-Medical Claims Advisor - Gulf Insurance Co.-Jobs in Kuwait - career in Kuwait - vacancies in Kuwait
Post a Comment