Jobs / Information Systems Jobs / Medical Claims (Physicians Only)
Full Time
Mersal -
Egypt , Cairo
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Mersal
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Job Details

Experience 1 to 3 years
Salary Confidential
Employment Full Time
Gender Female
Education Bachelor's Degree","translations":{"name":{"ar":"درجة البكالوريوس","en":"Bachelor's Degree
Category Administration
Industry Non-Profit Organization Management
  • Performing technical audit on medical claims (inpatient and outpatient).
  • Auditing of invoice and Ensuring that all the medical bills are within the contracted price list and the approval criteria according to Mersal policy.
  • Justifying the rejection reasons on system in rejection cases to facilitate the reconciliation process.
  • Ensuring the best service given to the patients by providers.
  • Report to the direct manager any irregularity or problems noticed during the audit and/or closing of claims.
  • Prepares reports by collecting, analyzing, and summarizing information of the reviewed claims to assess the quality of our payment and create a cost effective solution.
  • Coordinate workflow & meet deadlines.

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