Claims Specialist

1.     Reviewing claims in preparation for their submission to insurance companies

2.     Collecting, organizing, and storing claims files using computers and filing systems.

3.     Follow-up and Processing of claims complaints.

4.     Ensure to comply with the Insurance Company requirements.

5.     Complete logs, reports, forms and records to properly document medical claims.

6.     filing all approved claims.

7.     Making and reviewing all claims bills for medical and non-medical services.

8.     Coordinate with the insurance specialist for speedy processing of patients’ documents.

9.     Identify and escalate customer issues to immediate Supervisor.

10.   Contribute to ensure all requirements documents are submitted for reimbursement claims.

11.   Inform the team for any new regulations of the insurance field.

12.   Coordinate with insurance specialist and billing team for any additional document support.

13.   Protects operations by keeping claims information confidential.

14.   Performs other related duties as assigned by management.