Medical Claims Officer - Physicians only

What you do

• Manages routine daily claims administration work.
• Coordinates work flow & meet deadlines.
• Evaluates claims with regards to eligibility.
• Takes decisions on high cost and complicated cases based on standard operating procedures.
• Handles International Preauthorization cases as required.
• Attends calls and e-mails from insurance companies, clients, and providers.Coordinates with international providers for direct billing.
• Makes suggestions to improve service.Increases efficiency, minimizes errors and administration time.
• Analyze data using AI to identify areas for service improvement, increase efficiency, minimize errors, and reduce administration time

AI READINESS Work effectively...