Medical Claims Officer- physician only

What you do

• Manages routine daily claims administration work.
• Coordinates work flow & meet deadlines.
• Evaluates claims with regards to eligibility.
• Takes decisions on high cost and complicated cases based on standard operating procedures.
• Handles International Preauthorization cases as required.
• Attends calls and e-mails from insurance companies, clients, and providers.
• Coordinates with international providers for direct billing.
• Makes suggestions to improve service.
• Increases efficiency, minimizes errors and administration time.
• Analyze data using AI to identify areas for service improvement, increase efficiency, minimize errors, and reduce administration time.
• AI READINESS Work effectively in an environment shaped by artificial intelligence (AI), machine learning, data, analytics and cloud-based tools...