Jobs / Accounting Jobs / Claim Auditor (Accountant)
Full Time
International New -
Egypt , Giza
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International New
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Job Details

Experience 1 to 2 years
Salary Confidential
Employment Full Time
Education Bachelor's Degree","translations":{"name":{"ar":"درجة البكالوريوس","en":"Bachelor's Degree
Category Accounting
Industry Hospital & Health Care
  • Audit and review medical and financial claims to ensure accuracy, compliance, and adherence to company policies and industry regulations.
  • Analyze claim documentation for completeness, validity, and proper coding.
  • Identify discrepancies, errors, or fraudulent activities within submitted claims and recommend corrective actions.
  • Collaborate with medical, administrative, and finance teams to resolve claim issues and gather necessary supporting documentation.
  • Prepare detailed audit reports and present findings to management for further action.
  • Maintain up-to-date knowledge of insurance policies, billing procedures, and regulatory requirements relevant to claims processing.
  • Assist in the development and implementation of internal controls and best practices for claims auditing.
  • Participate in training sessions and workshops to stay current with evolving industry standards and compliance guidelines.
  • Support month-end and year-end closing processes by providing accurate claims data and reconciliations.
  • Contribute to process improvement initiatives aimed at enhancing the efficiency and accuracy of claims auditing.

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Egypt, Giza
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