مسؤول مطالبات طبية

• Conduct technical audits on medical/inpatient claims.

• Review patient records, medical bills, and submitted claims.

• Ensure claims comply with hospital and insurance policies.

• Identify discrepancies, errors, and unusual claim patterns.

• Handle daily dashboards and follow RCM processes.

• Coordinate with relevant departments to resolve claim issues.

• Prepare audit findings and recommendations.
  

Requirements

• Bachelor’s degree in medicine

• 1–3 years of experience in Medical Claims

• Strong communication skills