Senior Claims Coordinator

Job Summary

The Senior Claims Coordinator is responsible for processing claims for all patients, with additional supervisory tasks as assigned.

Major Duties and Responsibilities

• Ensure high-quality claims are submitted within acceptable timeframes.
• Conduct training sessions for new Claims Coordinators.
• Review and address ER/OPD discrepancies, communicating with respective departments.
• Verify the accuracy of ID copies attached to claim forms.
• Report unadjusted and un-entered medical services, and excluded services to the Manager of Claims.
• Suggest improvements to computer functions to enhance section performance.
• Coordinate with PSD, Admission office, and Billing department for approvals.
• Perform additional tasks as assigned by superiors.

Reporting To

Claims Manager

Qualifications

• Education: Bachelor of Science in Business Administration, Major in Management (preferred).
• Experience: Minimum of three (3) years in Claims processing.
• Competencies & Skills: Bilingual (English and Arabic), proficient in MS Office, familiarity with Medical Terminology, and expert knowledge of Payers regulations.