Senior Medical Claims Auditor

7 days ago

Qesm nd October Al Jizah, Egypt Quick agency Full time 120,000 - 180,000 per year

Company Description

Quick Technology Company specializes in delivering expert Siebel CRM solutions to drive business growth and enhance customer relationships. With a deep understanding of the Siebel ecosystem, the company provides tailored services, including implementation, integration, customization, upgrades, performance optimization, and ongoing support. Their certified professionals work with organizations to optimize CRM applications, automate processes, and leverage customer data effectively. Quick Technology Company is committed to offering scalable, user-centric solutions to ensure a significant return on investment.

Role Description

This is a full-time, on-site role based in Qesm 2nd 6 October for a Senior Medical Claims Auditor. The primary responsibilities include auditing medical claims for accuracy and compliance, analyzing data to identify discrepancies, and ensuring adherence to insurance policies and procedures. The role involves closely collaborating with other teams to resolve claims issues, maintain compliance standards, and provide recommendations for process improvements.

Qualifications

  • Strong expertise in Claims Auditing and Claims Handling
  • Proficient in conducting Auditing processes, with a detail-oriented approach
  • Excellent Analytical Skills to assess claims data and identify inconsistencies
  • In-depth knowledge of Insurance policies and industry regulations
  • Effective communication skills, problem-solving ability, and attention to detail
  • Bachelor's degree in a relevant field, Bachelor of Pharmacy
  • Professional certifications in auditing or healthcare claims will be considered an advantage
  • Experience working in medical claims auditing or a related field is preferred

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