Website Allianz
Allianz careers in Doha Available for Claims Reconciliation Specialist Jobs in Qatar – According to Allianz Official job portal notification, Claims Reconciliation Specialist jobs opportunity Available in Doha, Qatar. Latest Qatar Government Vacancy 2024. Then Apply For Claims Reconciliation Specialist Careers in Allianz Jobs Qatar Company. Jobseekers will match their needs and press Apply Button Below to understand additional info concerning alphabet Jobs. Apply for jobs in Qatar living Jobs. Candidates who are interested may apply for the Allianz position in Qatar in 2024.
Government jobs in Qatar, Allianz best fantastic opportunities, and Claims Reconciliation Specialist careers. On Allianz Careers A new job posting for hire at Claims Reconciliation Specialist has just been made on the official Qatar Government jobs. This Allianz Application Form is used to gather personal information, educational qualifications, and other important details. At Allianz, you´ll have an outstanding opportunity. The chance to use your skills and imagination to push the boundaries of what´s possible.
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Allianz Education for this Position :-
Educational Requirements for Allianz Vacancy It is maintained unique for each post. It contains a variety of posts. Qualifications for this Position Graduate near to and within your stream You must have completed your degree in the field for which you are applying. Claims Reconciliation Specialist Careers in Allianz Jobs Qatar Company.
Employment Title | Allianz Company |
Vacancy Info | Claims Reconciliation Specialist Careers |
Location of Employment | Doha, Qatar |
Job Purpose :-
Claim Reconciliation Specialist is responsible for the end to end and timely (3 -6 months cycle) provider claim reconciliation of rejected claims disputed by the healthcare providers performed as per the regulatory guidelines and as defined within the provider manual and agreement contract with the same. The designated is also responsible to regularly report with all related departments the overall provider claims reconciliation status and suggest improvements (e.g. system or manual adjudication) and identify issues that affect the reconciliation process and to document the lessons learned on every conclusion or closing of provider claims reconciliation exercise including signed clearance letters.Claim Reconciliation Specialist is responsible for the end to end and timely (3 -6 months cycle) provider claim reconciliation of rejected claims disputed by the healthcare providers performed as per the regulatory guidelines and as defined within the provider manual and agreement contract with the same. The designated is also responsible to regularly report with all related departments the overall provider claims reconciliation status and suggest improvements (e.g. system or manual adjudication) and identify issues that affect the reconciliation process and to document the lessons learned on every conclusion or closing of provider claims reconciliation exercise including signed clearance letters. 46596 | Customer Services & Claims | Professional | Non-Executive | Allianz Partners | Full-Time | Permanent
• Claims Reconciliation Specialist will conclude every provider claims reconciliation exercise with a signed clearance letter from the healthcare providers for the particular service year properly documented and archived. – Main Tasks
oSupervise the Personnel and the activities of the Claims Reconciliation Team and ensure daily productivity and quality targets are defined, monitored and reported to the Manager and Heads and with the senior leadership.oProduce Monthly Management Reports with Reconciliation Status (Open and closed) including disputed and payable amount.oLiaise with MPM and BD to ensure reconciliations are processed accurately and on time. (Timely Settlement and Timely submission/resubmission)oWill directly liaise with MPM and BD to escalate Unresolved or stand-off reconciliation cases for intervention and support to close the reconciliation.oFormulate and implement changes and required process improvements not limited to the reconciliation process only but also to the other functions where oversight and discrepancies were identified such as adjudication errors, system errors, un-clear rejection reasons, timeline and technical errors.oHandle and support direct communication with the healthcare providers on their rejection ratio and reconciliation review findings.oCoordinate with internal and external customers (Finance, MPM, ACE, BD, MCD, CMD, Payers) as required by the reconciliation process.oCommunicate and respond externally with Providers and Payers AccuratelyoCarry out claim investigation and review and determine required responses to related queries.oGenerate required reports to facilitate the reconciliation processoInvestigate disputed rejected claims and respond with the appropriate justificationoFacilitate coaching and feedback meetings with stakeholders (external and internal) related with the reconciliation requirementsoConduct Reconciliation meetings with the stakeholders as required by the reconciliation process.
– Main Requirments
• Bachelor’s Degree; Paramedical background preferred with medical coding.
• 3+ years filing/documentation experience. Experience within the Health Care Industry, TPA’s, insurance companies, Hospitals, Medical Centers is a plus.
• Physically fit to carry out duties
How to Online Apply
Please fill out our application form and upload your CV for our review and consideration if you are interested in applying and believe you are a good fit for this position.
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To apply for this job please visit www.efinancialcareers.ie.