Medical Claims Officer
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Job Description
Manages routine daily claims administration work.
Coordinates work flow & meet deadlines.
Evaluates claims with regards to eligibility.
Takes decisions on high cost and complicated cases based on standard operating procedures.
Handles International Preauthorization cases as required.
Attends calls and e-mails from insurance companies, clients, and providers.
Coordinates with international providers for direct billing.
Makes suggestions to improve service.
Increases efficiency, minimizes errors and administration time.
Behavioral Requirements
Organizational & time management skills.
Ability to work well with all levels of internal management and staff, as well as outside clients and users.
Ability to demonstrate sound work ethics.
Employment Type
Full Time
Department / Functional Area
Doctor / Nurse / Paramedics / Hospital Technicians / Medical Research
