Medical Claims Manager
4 days ago
Qualifications:
- A graduate of Doctor of Medicine.
- Had specialty trainings preferably in Surgery, Ob-Gyne, and Pediatrics.
- Knowledge of complex disease conditions, treatments, tests, and medications.
- With high attention to details and strong analytical skills.
- Excellent oral and written communication skills.
- Ability to multitask while working under minimal supervision.
- Computer literate with proficiency in MS Office, using MS Word, and MS Excel.
Job Description:
- Ensures efficient operation of Medical Ancillary and Support Services Division management frameworks (claims processing, reimbursement processing, and underwriting).
- Manages initiatives in enabling MASSD team to define governance for the strategic processing of the accurate and timely payment of claims.
- Keeps abreast of any changes in the schedule of payments of providers.
- In-depth knowledge on the approach of Clinical cases and interpretation of medical information relevant to claims.
- Deep and solid knowledge of the overall division's functions.
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