Descrição
Responsibilities:
Claims Submission:
Review and process healthcare claims submitted by providers.
Ensure claims are accurate and comply with insurance policies and Bupa requirements.
Issue Resolution:
Investigate and resolve issues related to claim submissions.
Communicate with providers to gather necessary information and clarify discrepancies.
Coordinate with other departments to resolve complex issues.
Documentation and Reporting:
Maintain detailed records of claims and resolutions.
Prepare reports on claim status and issues resolved.
Ensure compliance with company policies and legal requirements.
Customer Service:
Provide exceptional customer service to providers.
Respond promptly to inquiries and concerns.
Educate providers on claim submission processes and best practices.
Education:
Bachelor's degree in BA or IS.
Skills:
- Proficiency in Excel and other data management tools.
- Analytical and problem-solving skills.
- Effective communication and interpersonal skills.
- Proficient in English.
Education:
Bachelor's degree in Business Administration or IS.