Claims Coordinator "Makkah"

National Medical Care; Makkah Region; On-site; SAR 56,000 - 89,000; Full time

Job summary

National Medical Care in Saudi Arabia seeks a Claims Coordinator to process claims for all patients and to perform supervisory tasks as assigned. You will lead claims activities, ensure timely submissions, and support continuous improvement in the department.

The role requires a background in claims processing, a degree in business administration, and at least 3 years of relevant experience, including supervisory duties. The position is based at our facility in Makkah region.

Qualifications

• Bachelor's degree in a related field (as stated).
• Minimum 3 years of experience in claims processing.
• Experience with supervisory tasks or coordinating a team.

Responsibilities

• Ensures that high-quality claims are submitted on time.
• Conveys training sessions for new Claims Coordinators.
• Reviews ER/OPD discrepancies and communicates with the respected departments.
• Checks the claim form received to ensure the ID copy attached is correct.
• Reports unadjusted and un-entered medical services to the Manager of Claims; notifies about excluded services for new contracts.
• Suggests new computer functions to improve section performance.
• Receives approvals from PSD, Admission office and Billing department.
• Performs additional tasks and duties as assigned by superiors.

Skills

Claims processing

Training

Education

Bachelor of Science in Business Administration, Major in Management

Job description

The Claims Coordinator is responsible to process claims for all patients. In addition to some supervisory tasks as per assignment.

Major Duties and Responsibilities

• Ensures through his/her actions, that a superior quality of Claims are submitted and within the acceptable time period.
• Conveys training sessions for new Claims Coordinators.
• Reviews ER/OPD discrepancies and communicating with respected departments.
• Checks the claim form received if the ID copy attached is correct.
• Reports the unadjusted and un-entered medical services to Manager of claims notification of excluded services for the newly contracted companies.
• Suggests new computer functions to improve the section performance.
• Receives answered approvals from PSD, the Admission office and the Billing department.
• Performs additional tasks and duties as assigned by superiors.

Reporting to

Claims Manager

Qualifications:

Education:

Preferably College Graduate/Bachelor of Science in Business Administration, Major in Management.

Experience:

A minimum of:

(3) year experience in Claims processing field.