Medical Claims Contract Administrator

4 months ago


Dubai, United Arab Emirates Jobot Full time


Responsibilities

As a Medical Claims Contract Administrator, your key responsibilities will include

  • Managing and processing new enrollment applications, ensuring all necessary documentation is received, and data is accurately entered into our system.
  • Providing top-notch customer service, resolving any issues or concerns raised by our clients and ensuring they have a positive experience.
  • Working closely with our call center team, handling inquiries and complaints, providing necessary information, and escalating issues as needed.
  • Ensuring all medical claims are processed accurately and in a timely manner, adhering to all contractual obligations.
  • Maintaining up-to-date knowledge of all contractual changes and updates, ensuring all claims are processed in accordance to these.
  • Collaborating with other departments to ensure seamless service delivery and client satisfaction.
  • Identifying opportunities for process improvements, making recommendations, and implementing changes as approved.
  • Ensuring compliance with all company policies, as well as local, state, and federal regulations.

Qualifications

The ideal candidate for this role will have the following qualifications

  • A minimum of 2 years of experience in medical claims administration, preferably within the manufacturing industry.
  • Demonstrated experience in new enrollment processes and customer service.
  • Proven experience in a call center environment, with excellent communication skills and the ability to handle high-pressure situations.
  • Strong knowledge of medical terminology, coding, and billing procedures.
  • Exceptional attention to detail, with the ability to manage multiple tasks and deadlines.
  • Proficiency in using computer systems and software, including Microsoft Office suite and database management.
  • Excellent problem-solving skills, with the ability to think critically and make decisions.
  • Ability to work independently, as well as part of a team.
  • Bachelor's degree in healthcare administration, business, or a related field is preferred.


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