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Claims Management – Tracking Officer is responsible for tracking all Direct Claims received from the provider according to Nextcare standards. This role ensures NEXtCARE operational standards are achieved with utmost productivity and efficiency.
Job Responsibility:
Checks claim submission for proper completion
ensures that standard format for submission is followed such as general statement of account and detailed statement of account
adheres to initial check of received physical claims count VS the listed in the statement
ensures feedback within set specified time for any corrections, missing information, and any standard format not being followed
batching the received claims as per our standards and hand over physical claims to Retrospective team
ensures proper documentation, feedback, and endorsement on claims
communicates directly with providers for missing information and reports cases where necessary
returns claims with incomplete administrative information to the provider
directs providers not created on TATSH to MPM team for creation.
Requirements:
Bachelor’s Degree
from 0 to 2 years management experience within Healthcare Industry (TPA, Insurance Companies, Hospitals, Medical Centers or Pharmacies)
physically fit to carry out duties
legally permitted to work in the country of operations
fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills.
What we offer:
Personal and professional development with a large variety of courses and targeted development programs
global environment encouraging international mobility and career progression
Work Well programs focused on health and wellbeing
flexibility in planning for a better work-life balance
equal opportunity employer with a focus on inclusivity and diversity.
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