Reimbursement Officer

• Assesses approval of medical approvals as well as policy use.
• Checks treatment plan is necessary for the patient.
• Inputs verbal and written claims approvals regularly.
• Decides approvals as per policy conditions.
• Assess high-cost claims and provide decision on high cost and complicated cases.
• Provides clear feedback on queries from call Centre team.
• Provides clients an understanding of any declined medical claims.
• Coordinates workflow & meet deadlines.
• Evaluates claims with regards to eligibility.
  

Requirements

To be successful in this position you will need to have the following skills/ experience:

• Bachelor of MedicinePharmacyDentistry.
• 2+ years Medical Practical Experience (reputable insurance provider, broker or a TPA experience a plus).
• Legally permitted to work in the country of operations.
• Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills.
• Strong verbal and written communication skills.
• Show flexibility, excellent interpersonal skills.