Medical Claims Officer

The Claims Processing Officer evaluates and audits providers’ bills and processes them on the system. He / She performs scan for detection of missing documents and ensures that medical report, prescription /tests /invoices are coherent. **What you do** - Audit and process all kinds of providers’ bills. - Screen claim documents - Ensure that proper...

XXX The Claims Reconciliation Officer - will provide quality service to the providers and work closely with the medical claims, the finance, processors, and customer service departments to resolve claims issues, The position reports to the Claims Assistant Manager, The position also requires to coordinate closely with various entities internally and...

**What you do** - Monitor the quality of all operational transactions. - Analyze inpatient and outpatient medical records using most current International Classification of Diseases (ICD-9/ICD-10),Current Procedural Terminology (CPT), regulatory and contractual requirements, and generally accepted coding practices. - Verify and validate claims documents...

Claims Management - Tracking Officer is responsible for tracking of all Direct Claims received from the provider according to Nextcare standards. This role has the overall responsibility to ensure NEXtCARE operational standards are achieved with outmost productivity and efficiency. **Key responsibilities/What you do**: - Consistently checks and tracks...

The **Assistant Manager** is responsible for managing the functions of Medical Services **( Inpatient, Outpatient & Retrospective Review)** while ensuring that departmental goals, timeline of activities, and compliance measures are met. **What you Do**: - Manage and organize the team ensuring optimum deployment of resources & reporting to the...

For our Electrical Sector team in Cairo, we are looking for a motivated and enthusiastic new colleague who comes with an Engineering background, enjoys working with customers, and has analytical mindset, solid communication, prioritization, and organization skills. Based in Egypt, Cairo, the role is reporting into our Regional QESH Manager for the Middle...

مطلوب محاسب خبرة لمركز طبي في التجمع الخامس We are seeking a an accountant with prior experience in medical center to join to join our dynamic team. Location : The 5th Settlement - New Cairo, Egypt. **Responsibilities**: - To facilitate smooth interaction between the team members and nursing administration Maintain...

**Job title**:_ AMET Medical strategy Lead /Cough medical Zone lead_ - _ Location: Cairo, Egypt_ **_ About the job_** At Sanofi Consumer Healthcare, we build trusted and loved brands that connect with hundreds of millions of consumers worldwide. Our mission is to enable better self-care for individuals and communities, while also contributing to a...

**Over view** The finance accountant officer will enhance follow up with payers for TPA collection, follow up payers account on timely basis and support for the company's local objectives, contributes to the oversight over relevant functional areas and assists in the financial activities within the respective AzP BU. Main Tasks/ what you do Receive the...

**POSITION VACANCY** **Medical Delegate** **POSITION SNAPSHOT** Location: Egypt - Cario Area: Shobra/Shobra Elkhema/Abasseya/Zawya/Sharabeya Company: Nestlé Middle East - Head Office Business Unit: Nutrition Full-time *** The medical delegate is responsible for the ethical detailing of Nestlé Infant Nutrition products in assigned territory by...

Provider Services Consultant - Temporary **Job Description**: **Provider Services Consultant** **Cairo, Egypt** **A full time role** **Hybrid home and office working options available once signed off - This is not a fully remote working position.** Here you'll be welcomed. We chion diversity and we understand the importance of our people representing...

Employee Well Being Administrator coordinates and oversee all office activities. Ensure adherence to relevant company procedures and policies coordinate and participate in office space planning, maintenance and renovations when necessary, in addition to managing the medical coverage scheme. As well as Supervising Housekeeping staff, and supervising the...

**Key responsibilities/What you do** Working with the Global Claims Function, you will be responsible for the identification, investigation and remediation of Fraud, Waste & Abuse in claims submitted by Health Service Providers and our Health Customers. Your expertise will be instrumental in enhancing our fraud prevention and detection...

**_We are looking for individuals who want to join our Team with the Naval Medical Research Unit located in Cairo, Egypt!_** - ** Title: Senior Medical Administrative Assistant**: - ** Location: NAMRU Facilities, Cairo, Egypt**: - ** Start Date: 25 September 2024**: - ** Job-Type: Full Time (40 Hours/week)** **SUMMARY** The Naval Medical Research Unit...

**Key responsibilities/What you do** Working with the Global Claims Function, you will be responsible for the identification, investigation and remediation of Fraud, Waste & Abuse in claims submitted by Health Service Providers and our Health Customers in the Sultanate of Oman. You will represent the Global Claims Fraud Framework to our Collegues,...

Company Profile Oceaneering is a global provider of engineered services and products, primarily to the offshore energy industry. We develop products and services for use throughout the lifecycle of an offshore oilfield, from drilling to decommissioning. We operate the world's premier fleet of work class ROVs. Additionally, we are a leader in offshore...

**Operations Officer** Job #: req31594 Organization: IFC Sector: Operations Grade: GG Term Duration: 3 years 0 months Recruitment Type: International Recruitment **Location**: Cairo,Egypt Required Language(s): English Preferred Language(s): French, Arabic Closing Date: 2/21/2025 (MM/DD/YYYY) at 11:59pm UTC Description IFC - a member of the World Bank...

Overview: This role is responsible for customer claims handling operations. Scope is inclusive of customer service activities and 3rd Party Logistics operations within the French BU and is key to ensuring claims made by customers are administered correctly and appropriate remedial action taken. The role holder will have to work with warehouse, cost...

**The Organisation** Plan International is an independent development and humanitarian organisation that advances children’s rights and equality for girls. We believe in the power and potential of every child but know this is often suppressed by poverty, violence, exclusion and discrimination. And it is girls who are most affected. Working together with...

**Role Purpose**: **Manage and Monitor Contractual agreements for all vendors and travel **Stimulate Steady Process enhancement to present increasing in operational efficiency for entire business partner process **Identify and implement continuous enhancement to achieve operational target and improve Vodafone SLA **Measure, Report and Track vendor...