Job Description
Claims Processing Officer
The Claims Processing Officer reviews and audits providers’ bills, accurately entering them into the system. They scan for missing documents and verify that medical reports, prescriptions, tests, and invoices are consistent.
Key responsibilities/What you do:
- Audit and process all types of providers’ bills.
- Examine claim documents thoroughly.
- Ensure correct pricing is applied before processing bills in TATSH.
- Handle claim adjustments.
- Utilize AI-based screening tools to verify accurate entry of insurance claim information, ensuring precise processing and timely payment.
- Verify all required fields in TATSH, such as visa notes, precertification center notes, contract notes, policy files, medical files, and faxes, to guarantee accurate processing.
- Process and record invoice details in TATSH according to policy terms, product type, TOB, an...
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