Location: Dar es Salaam, Tanzania
Exciting opportunity for a Medical Claims Processor, the ideal candidate will have a working knowledge of Health Insurance Industry and will be responsible to manage insurance claims and determining the validity of a claim.The ideal candidate for this opportunity will contribute excellent analytical skills, which will identify why a claim is not paid and what it needs to get resolved, skilled at reviewing and resolving insurance claims and rejections and will have superb communications skills with a payor to dispute a claim for payment.
JOB DESCRIPTION
- Validates the information on all medical claims from patients seeking payment from their insurance company.
- Review Claims to ensure the information is correct and with no errorshis includes verifying patient and physician information.
- It also includes ensuring that the correct current procedural terminology, or CPT, and international classification of disease, or ICD-9, codes are used.nsures the codes listed are for actual services performed and meet medical necessit
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