with organizational goals. Proficiency with claims management software and data analysis tools Motivated team player who is detail... Medical claims/Case management In-depth knowledge of healthcare operations claims processing, and regulatory requirements...
KEY TASKS AND RESPONSIBILITIES Claims processing Clinical Review of Claims: Assess all inpatient and outpatient... claims for clinical accuracy and relevance. Verify that diagnosis, treatment, procedures, and drugs align with standard...
reflects this. Job Description Verify, audit and Vet medical claims for payment for both outpatient and inpatient claims... as per the claim’s manual/Standard operating procedure. KEY TASKS AND RESPONSIBILITIES Claims processing Clinical Review...
inpatient and outpatient medical claims while verifying the accuracy of information provided. Managing healthcare costs... or a Diploma in Nursing, Clinical Medicine, Healthcare Management. Strong background in medical claims assessment...
… Operations Analyst, Nairobi, Kenya, P1 (2) Key Functions and Accountabilities: Provide programme management... arrangements for the Programme or Section as required, including processing travel requisitions and claims. Support the...
projections for liabilities, premiums, claims, and investment income aligned with business strategy and observed experience...