الوصف
The Medical Claims Officer will provide quality service to clients, promptly and effectively assesses and process claims and approval according to operations set standards. Manages routine daily claims administration work.
Coordinates work flow & meet deadlines.
Evaluates claims with regards to eligibility.
Takes decisions on high cost and complicated cases based on standard operating procedures.
Handles International Preauthorization cases as required.
Attends calls and e-mails from insurance companies, clients, and providers.
Coordinates with international providers for direct billing.
Makes suggestions to improve service.
Increases efficiency, minimizes errors and administration time.