Temporary Claims Consultant
HEALTH RISK MANAGEMENT BOTSWANA
- Gaborone, South-East District
- Temporary
- Full-time
- Reconcile member or provider claims received.
- Ensure accurate and timeous processing of medical claims received from Members and Service Providers.
- Check the technical aspects of the claim - Inclusive of potential non-disclosure, and exclusions.
- Review all medical information on file, analyze and synopsize information at hand.
- Determine and record additional required information.
- Correspondence to clients with respect to claims outcomes and requirements for future claims in order to manage claims.
- Keeping accurate records of all claims assessed in accordance with departmental procedures.
- Deal with first line queries by members and providers telephonically and via e-mail.
- Participation in projects to improve departmental service-owning your role in the project and completing tasks as required by providing input.
- Proficient in the assessment and management of medical claims
- Proficient in medical coding
- Excellent computer skills and a strong ability to learn quickly
- Excellent communication skills, both written and spoken
- Team work
- Strong interpersonal skills and an ability to work with people at all levels.
- Degree in Health Information Systems/Informatics or equivalent
- Previous experience in a Medical Aid environment is advantageous
Industries :Health, pharmacy, hospitals, medical equipmentPharmaceutical industry
Employment type :Temporary work
Region :Gaborone
City : Gaborone
Experience level :2 to 5 years
Educational level :Bachelor
Key Skills :health
Number of Position(s) : 3Be cautious! Do not send money to a potential employer. Do not pay any money for a potential contract of employment or for pre-employment training.
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