Gender : male and female Salary: Not mentioned Salary Type : Net Salary Location: Cairo- Egypt
Role:-
Ensure the claims settlement in correct status (accepted, pending, rejected)
Ensure the financial status of the batch is in correct status (total amounts of accepted, pending, rejected ones is equal to the total claimed amounts)
Identify the rejected amounts with its reasons and classify it into valid and invalid deductions.
Communicate with the payer for the invalid deductions to get approval for resubmission process for these deducted amounts.
Identify the valid deductions and classify it according to the role of each stakeholder in the operation.
Communicate with the stakeholder and process owner with the valid deductions and put together the proper way to get rid of these mistakes that lead to deductions.
Maintain a high level of accuracy and productivity while meeting established performance metrics and quality standards.
Ensure every month that reconciliation with every payer is going on a smooth way
Job Requirements
Bachelors degree in pharmacy
Ex Claims, and Chain Pharmacy experience.
2+ Years of experience in a similar field
Good interpersonal and negotiation skills.
Ability to handle stress and work in a fast-paced environment and Flexible working hours.
Detail-oriented and Strong organizational skills to prioritize workload effectively.
Ability to work independently and as part of a team and meet tight deadlines.
Fluency in English, both written and spoken
Have a good communication skills
Proficiency in Microsoft Office (Specially Excel) and other relevant software applications.
