Job Description

About the job

Job Summary

The Claims Coordinator is responsible to process claims for all patients. In addition to some supervisory tasks as per assignment.

Major Duties and Responsibilities

• Ensures through his/her actions, that a superior quality of Claims are submitted and within the acceptable time period.
• Conveys training sessions for new Claims Coordinators.
• Reviews ER/OPD discrepancies and communicating with respected departments.
• Checks the claim form received if the ID copy attached is correct.
• Reports the unadjusted and un-entered medical services to Manager of claims notification of excluded services for the newly contracted companies.
• Suggests new computer functions to improve the section performance.
• Receives answered approvals from PSD, the Admission office and the Billing department.
• Performs additional tasks and duties as assigned by superiors.

Reporting to

Claims Manager

Qualifications:

Education:

Preferably College Graduate/Bachelor of Science in Business Administration, Major in Management.

Experience:

A minimum of:

(3) year experience in Claims processing field.

Competencies & skills:

• English and Arabic speaking and typing.
• Computer literate (MS Office)
• Familiar with Medical Terminology
• Expert in Payers regulations