jetpack domain was triggered too early. This is usually an indicator for some code in the plugin or theme running too early. Translations should be loaded at the init action or later. Please see Debugging in WordPress for more information. (This message was added in version 6.7.0.) in /home/wathefty/public_html/jobs/wp-includes/functions.php on line 6260rank-math domain was triggered too early. This is usually an indicator for some code in the plugin or theme running too early. Translations should be loaded at the init action or later. Please see Debugging in WordPress for more information. (This message was added in version 6.7.0.) in /home/wathefty/public_html/jobs/wp-includes/functions.php on line 6260advanced-ads domain was triggered too early. This is usually an indicator for some code in the plugin or theme running too early. Translations should be loaded at the init action or later. Please see Debugging in WordPress for more information. (This message was added in version 6.7.0.) in /home/wathefty/public_html/jobs/wp-includes/functions.php on line 6260Insurance Claim Processor\t<\/p>\n
Company Healthcare Industry (Hospital)<\/p>\n
Role Description:<\/p>\n
Obtain information from insured or designated persons for purpose of settling claim with insurance carrier. Completing insurance claim forms, preparation of the claim and performing related work as required.<\/p>\n
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Duties and Responsibilities:<\/p>\n
\u00b7 Receives the Insurance claims & related documents from the reception or billing clerk and any other concern staff or section.<\/p>\n
\u00b7 Checks the documents and registering the status in the excel file or in the sap system.<\/p>\n
\u00b7 Verifies the documents, coverage, exclusions and deductibles.<\/p>\n
\u00b7 Verifies the required information of the documents and if missing returning to the concerned for correction.<\/p>\n
\u00b7 Contacts receptionist or other involved persons to obtain missing information.<\/p>\n
\u00b7 Prepares the report of the errors<\/p>\n
\u00b7 Answers questions regarding insurance claims, missing documents, error corrections status.<\/p>\n
\u00b7 Daily posting and updating of the receiving ,missing and error status in the system<\/p>\n
\u00b7 Sorts ,separates and attaches the claims as per company and policy holders<\/p>\n
\u00b7 Prepares and reviews insurance-claim forms and related documents for completeness.<\/p>\n
\u00b7 Participates in the departmental meetings, trainings and educational programs<\/p>\n
\u00b7 Prepares the monthly statement for submission according to the requirement of the insurance co. and corporate.<\/p>\n
\u00b7 Performs the duty as per the assigned weekly, fortnightly and monthly scheduled, shifts and timings by the supervisors or department.<\/p>\n
\u00b7 Ensures the timely Submission of claims to internal section and to the insurance company as per assigned schedule and target dates.<\/p>\n
\u00b7 Adheres to established departmental policies s and procedures.<\/p>\n
\u00b7 Maintains departmental records and files, and takes care of departmental equipment.<\/p>\n
\u00b7 Participates in the planning, organizing and development for the achievement of the departmental goals.<\/p>\n
\u00b7 Performs miscellaneous job-related duties as assigned.<\/p>\n
\u00b7 Ensures quality and patient safety practices are followed (occupational and patient safety).<\/p>\n
\u00b7 Provides and promotes people centered care.<\/p>\n
\u00b7 Promotes inclusive health by providing equitable and accessible care to patients and families with special needs.<\/p>\n
\u00b7 Bachelor\u2019s Degree<\/p>\n
\u00b7 Minimum 2 \u2013 3 years in the similar field<\/p>\n
\u00b7 Strong communication and report writing skills.<\/p>\n
\u00b7 Proficient in using computer application systems, specially using of excel spreadsheet and Word document<\/p>\n
\u00b7 Knowledge of basic medical insurance claim forms and procedures<\/p>\n
\u00b7 Ability to understand basic medical insurance policies.<\/p>\n
\u00b7 Ability to answer questions regarding claims, coverage and payments.<\/p>\n
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