Medical Claims Officer SRF # 251

Job Description

- Medical Claims Officer SRF # 251Company: Industry: Non-Profit and Social Services Job Location: Amman, Jordan Career Level: Intermediate (Experienced non manager) Date Posted: 01-06-2022 Ref. Number: 151533 Citizenships Jordan Residence Country Jordan Years of Experience 2 - 16Medical Claims Officer SRF # 251 and RequirementsInternational Medical Corps never asks job applicants for a fee, payment, or other monetary transaction. If you are asked for money in connection with this recruitment, please report to International Medical Corps at the website provided at the end of this document.Title: Medical Claims Officer SRF # 251 Under Consultancy AgreementLocation: AmmanBACKGROUND: International Medical Corps is a global, humanitarian, nonprofit organization dedicated to saving lives and relieving suffering through health care training and relief and development programs. Established in 1984 by volunteer doctors and nurses, International Medical Corps is a private, voluntary, nonpolitical, nonsectarian organization. Its mission is to improve the quality of life through health interventions and related activities that build local capacity in underserved communities worldwide. By offering training and health care to local populations and medical assistance to people at the highest risk, and with the flexibility to respond rapidly to emergency situations, International Medical Corps rehabilitatesESSENTIAL DUTIES AND RESPONSIBILITIES* Communicate with hospitals to prepare invoices* Registration of claims upon receiving.* Make sure that all claims documents and details are complete (original invoices, medical reports, diagnostic procedure results, copy of referral)* Medical examination to ensure that the treatments and procedures match the diagnosis.* Examine whether the incurred treatments and procedures are covered under the referral letter conditions,* Assure that treatments and procedures didn?t exceed the referral estimated cost.* Entering all claims details into system.* Compare the approval given with actual claim.* Applying the agreed price list, package deal and discounts for each provider.* Correspondence with all Providers.* Monthly Reconciliations with all medical providers.* Entered the audited claims on the claims system* Prepare monthly detailed reports for each medical provider* Convert entered and audited claims to financial department and coordinate with finance for payments.* Prepare the required statistical reportsQualifications:* Bachelor Degree in Nursing or any related medical fields.* Minimum 2 years of professional experience in similar role. Compliance & Ethics: Promotes and encourages a culture of compliance and ethics throughout International Medical Corps. As applicable to the position, maintains a clear understanding of International Medical Corps? and donor compliance and ethics standards and adheres to those standards. Conducts work with the highest level of integrity. Communicates these values to staff and to partners and require them to adhere to these values. The duties and responsibilities listed are representative of the nature and level of work assigned and are not necessarily all-inclusive. International Medical Corps is proud to provide equal employment opportunities to all employees and qualified applicants without regard to race, color, religion, national or ethnic origin, age, disability or status as a veteran.?Website for reporting misconduct: .Please do not submit your CV or application to this website, it will not be considered for review? I hereby certify that all the information provided through the application and CV are accurate and the supportive documents are available upon request , any false information provided will cause cancelation of the application and applicant will be subject to legal action?.Company: Industry: Non-Profit and Social Services Job Location: Amman, Jordan Career Level: Intermediate (Experienced non manager) Date Posted: 01-06-2022 Ref. Number: 151533 Citizenships Jordan Residence Country Jordan Years of Experience 2 - 16

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