Claims Adjudication - Quality Assurance Specialist For GlobeMed Egypt

Employer GlobeMed Egypt
Job Title Claims Adjudication - Quality Assurance Specialist
Vacancy Deadline(mm/dd/yy) 2/28/2018
 Languages Arabic, Excellent
English, Excellent
Country Egypt
City Cairo
Job Category Health / Medical , Insurance
Job Type Full Time
Job Level Senior
Description -Ensuring the implementation of claims audit quality standards (such as and not limited to Turnaround time, Diagnosis review, and provision of justified detailed rejections report to providers to facilitate reconciliation process.)
 -Ensuring Optimum implementation of Agreed up on risk carriers Table of Benefits through Claims Processing and Auditing Team.
 -Ensuring Optimum implementation of Providers Contractual agreements and price lists through claims processing and auditing Team.
 -Highlighting and reporting any issues related to quality standards breach.

Qualifications -Bachelor degree of Pharmaceutical Sciences or related medical background from a Reputable University. -From 1-3 years of experience in Medical insurance/TPA industry is a MUST -Details oriented, Time management & Team-players. -Males are preferred (Military Service should be exempted/completed) -Very Good command of English Language skills is required. -Strong communication skills.
 
Gender Any
Car owner Any
Education major Pharmacy
Experience 1 - 2
 Years.
Compensations Social Insurance, Medical Insurance & Overtime
Salary (L.E.) Negotiable
Comments -Full time - from Sunday to Thursday (9:00 to 5:30 pm).

Job Contact Email HR@Globemedegypt.com mhossam@Globemedegypt.com