Medical Claims Administrator

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...

ON-SITEJob OverviewThe Claims Resolution Specialist helps in resolving provider claims payment status concerns, provider payment disputes, eligibility, and authorization verification. The role involves ensuring compliance with regulations, company policies, and Customer Service procedures.Key ResponsibilitiesAssist providers with inquiries related to...

Evaluates medical claims from technical and medical perspectives as per policy terms and conditions.Guides claims officers in handling complex medical cases to optimize output quality and quantity.Verifies the necessity of specific treatment plans for patients.Suggests seeking a second opinion for cases where treatment plans are uncertain.Offers clients...

Job DescriptionHandle the full recruitment process, writing and posting job ads, filtering CVs, schedule interviews, HR interviewing & evaluation, and communicate related correspondences to all applicants on a timely manner.Handle the onboarding & offboarding process of new hires & resigned employees.Update and maintain the HR Information Systems on regular...

Responsibilities: Prepare concise documentation and audit reports, including recommendations to claims management for improvements with corrective action plans; Audit, assess, and monitor providers and payers, to include but not limited to physicians, inpatient, outpatient, ancillary, behavioral healthcare, laboratory, etc. medical records, and independently...

Responsibilty:Monitoring patient physiological responses to therapy such as arterial blood gases, vital signs or blood chemistry, and lung function changes, and consulting with physicians if there are adverse reactions.Working as part of a team of health care professionals to manage patient care by assisting with medical procedures.Setting up and operating...

ePATHUSA is seeking a P ayroll & Benefits Administrator to be responsible for payroll and benefits administration, timesheet validation, employee recognition programs, and overall knowledge of all human resource functions. Promotes and maintains the ePATHUSA s mission, values and culture. Provides exceptional communication and service to employees. Sets...

Responsibilities:Reviewing claims of neglect or abuse by interviewing parties involved and visiting homes.Collecting evidence like medical reports, arrest records, and court filings to assess claim validity.Coordinating immediate protective services with law enforcement if necessary.Arranging temporary or permanent placement for individuals...

Job DescriptionDescription –>The incumbent provides administrative and logistical support to the Operations Team and works in close collaboration with the Programme/Technical Team.Key Activities and Expected Results Areas:Effective Management of Travel Services.Participate in the preparation of a travel plan that should be regularly updated. Ensure the...

Pr parer une circulaire, r diger des synth ses et des notes, diffuser des documents : ces quelques missions font partie des nombreuses activit s du service ;Situ e hi rarchiquement entre les adjoints et les attach s, cette fonction se caract rise par la connaissance et lapplication des dispositions l gislatives et r glementaires en LAssistant(e)...

Supports the new employee orientation process; ensures that all required new employee forms are properly prepared and signed; creates new employee personnel files. Creates and updates employees' profiles on the HITS. Navigates and manages data within the time and attendance system. Processes data related to current employees with respect toHuman Resources...

At Beiersdorf, we want to help people feel good about their skin – and our commitment goes far beyond caring for skin. For 140 years, we have developed innovative skin and body care products for well-known brands such as NIVEA, Eucerin, La Prairie, Hansaplast, and Labello. We act according to our purpose, WE CARE BEYOND SKIN, and take responsibility for...

Job Number Job Category Human ResourcesLocation The St. Regis Cairo, 1189 Nile Corniche, Downtown, Cairo, Egypt, EgyptSchedule Full-TimeLocated Remotely? NRelocation? NPosition Type ManagementJOB SUMMARYThe HR Manager directs and works with Human Resources and Operations employees to carry out the daily activities of the Human Resource Office including...

Job Number Job Category Human ResourcesLocation The St. Regis Cairo, 1189 Nile Corniche, Downtown, Cairo, Egypt, EgyptSchedule Full-TimeLocated Remotely? NRelocation? NPosition Type ManagementJOB SUMMARYThe HR Manager directs and works with Human Resources and Operations employees to carry out the daily activities of the Human Resource Office including...

Job Description SummaryThis position acts as the first point of interface, providing Contract Management functional support to Grid Solutions Business for the HVDC, ACS and FACTS Projects in Egypt and MEA Region. It largely composes Contract Management thru the OTR- Project Cycle from Project/s Award to Closeout, with occasional support to Commercial team in...

Provide first level support for production issues across multiple applications, including problem identification, definition and implementation of short-term work around and coordination of long term software solution IT team and software suppliers.Ensure that the business application systems supported by the software suppliers are maintained to the highest...

Need a talented, experienced, dedicated Registered Nurse for a skilled nursing contract The right candidate will have at least 2 years of recent RN experience and current BLS and ACLS $60/HR13-Week Day Shift Contract36-48 hours guaranteed Responsibilities of the Registered NursePlan and implement the nursing processGive quality care to patients requiring...

Job Purpose: Ensure that the service offered is timely, efficient, and professional and of the highest level, as per the criteria set forth by the Companys commercial, safety and security policies, standards and procedures. Supervise and coordinate all internal and external agencies, such as Handling agents, Service Providers, other airlines and various...

JOB DESCRIPTIONUNICEF works in some of the world's toughest places, to reach the world's most disadvantaged children. To save their lives. To defend their rights. To help them fulfill their potential.Across 190 countries and territories, we work for every child, everywhere, every day, to build a better world for everyone.And we never give up.For every child,...

Prepares employment contracts, ensuring that all necessary details and legal requirements are included, and ensures that contracts are reviewed and signed by the appropriate partiesCreates and maintains comprehensive employee files. This includes gathering and organizing important documents such as resumes, offer letters, performance Improvement Plans - PIP,...