• Supervising claims processor.• Processing claims online through Waseel and DHS Arabia.• Submitting all claims on time to all insurance companies.• Process all claims after proper investigations.• Preparing all insurance companies cover letters.• Check the entire claims net amount with the accounts department.• Trying all efforts to minimize rejections from the insurance company.• Follow up with doctors on claims rejected by various insurance companies.• Reply… Show more • Supervising claims processor.• Processing claims online through Waseel and DHS Arabia.• Submitting all claims on time to all insurance companies.• Process all claims after proper investigations.• Preparing all insurance companies cover letters.• Check the entire claims net amount with the accounts department.• Trying all efforts to minimize rejections from the insurance company.• Follow up with doctors on claims rejected by various insurance companies.• Reply on rejections to insurance companies.• Arrange meetings with internal accounts department to solve payment issues.• Handle all insurance accounts.• Maintain all insurance payments records.• Maintain all policies data.• Handling all insurance companies’ policy details.• Check discounts and price list.• Coordinate work flow.• Working on company software and as well as on MS word and MS excel.• Follow up with insurance companies for approvals.• Follow up with insurance companies for payments.• Settling rejections with insurance companies.• Process claims as per the rules of CCHI.• Provide supports to patients regarding process of approvals and their policy coverage details.• Handled inbound customer enquiries.• Adjust discounts as per the agreed price list between us and Insurance co. • Thorough understanding of medical terminology in relation to diagnoses and procedures.• Resolved problems resulting from claim settlement. Show less

Process medical international claims from countries like Lebanon, Jordan, Bahrain, Oman etc.• Finalizing all claims and closing batches• Processing the claims after proper investigations • Checking the rejection claims which are rejected by auditing doctors• Even worked on rejection claims• Performed audit of randomly selected claims to ensure quality processing• Check patient limits and theirs benefits• Researches claim overpayments • Processed claim forms… Show more Process medical international claims from countries like Lebanon, Jordan, Bahrain, Oman etc.• Finalizing all claims and closing batches• Processing the claims after proper investigations • Checking the rejection claims which are rejected by auditing doctors• Even worked on rejection claims• Performed audit of randomly selected claims to ensure quality processing• Check patient limits and theirs benefits• Researches claim overpayments • Processed claim forms, adjudicates for provision of deductibles, co-pays, co-insurance maximums and provider settlements• Review the rejected claims submitted by the health providers Show less