Medical Claims Processor/Medical Intern
Location: Dar es Salaam, Tanzania
Exciting opportunity for a Medical Claims Processor, the ideal candidate will have a working knowledge of Health Insurance Industry and will be responsible to manage insurance claims and determining the validity of a claim.The ideal candidate for this opportunity will contribute excellent analytical skills, which will identify why a claim is not paid and what it needs to get resolved, skilled at reviewing and resolving insurance claims and rejections and will have superb communications skills with a payor to dispute a claim for payment.
Validates the information on all medical claims from patients seeking payment from their insurance company.
Review Claims to ensure the information is correct and with no errorshis includes verifying patient and physician information.
It also includes ensuring that the correct current procedural terminology, or CPT, and international classification of disease, or ICD-9, codes are used.nsures the codes listed are for actual services performed and meet medical necessit
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