Claims Processors Almoosa Specialist Hospital

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.