Descrição
DUTIES AND RESPONSIBILITIES:
- Direct report to Liaison Physician.
- Evaluates and identifies the company’s requirements and makes appropriate recommendations in commensurate with the established policies and procedures.
- Evaluates proposal received from companies Company for all coverage, conducts analysis, and submits reports with recommendations.
- Receive Inpatient cases (PPS/SPS/Regular admission) and ensuring that documents are complete and arranges.
- Receive daily finished claims and print companies invoice in each claim.
- Submit finished claims to be perform by Liaison Physician.
- Submit requested claims to Physician that require review.
- Receive approved services.
- Receive rejected claims and re-worked on it for resubmission.
- Check billed statements according to requiring confirmation confirmed and rejected summarization all status
- Keep communicate to Aramco Accounting Office in all matters.
- Comply with the requirements and coverage of policy provided by Aramco.
- Work on PCP monthly for the payment.
- General Supervising in Claims department.
- Provide personalized coordinated care, and support for patients and families.
- Treat people with dignity, compassion, and respect.
QUALIFICATIONS:
- Diploma
PROFESSIONAL EXPERIENCE:
- 0- 2 years
SPECIALIZED SKILLS:
- Skills and computer literate.
- Excellent knowledge of oral and written English.