✨ AI Summary
The Claims Coordinator in Makkah is responsible for processing all patient claims efficiently and within acceptable timeframes, ensuring superior quality. Key duties include reviewing discrepancies, verifying claim forms, reporting unadjusted medical services, and suggesting system improvements. The role also involves training new coordinators and receiving approvals from various departments. The ideal candidate should have a Bachelor's degree in Business Administration (preferably), at least 3 years of experience in claims processing, and strong skills in English and Arabic, MS Office, medical terminology, and payer regulations.
Requirements
Preferably a College Graduate/Bachelor of Science in Business Administration, Major in Management. Requires a minimum of 3 years of experience in claims processing. Must be proficient in English and Arabic speaking and typing, computer literate (MS Office), familiar with Medical Terminology, and expert in Payers regulations.
Description
Job SummaryThe Claims Coordinator is responsible to process claims for all patients. In addition to some supervisory tasks as per assignment.Major Duties and ResponsibilitiesEnsures 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 toClaims ManagerQualifications: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 TerminologyExpert in Payers regulations