Claims Section Head
Saudi German Hospital
Total des années d'expérience :1 years, 7 Mois
• Manage the day-to-day operations of the claims department, including supervising staf, assigning tasks, and monitoring performance.
• Develop and implement policies and procedures for claims processing to ensure accuracy, eficiency, and compliance with regulatory requirements.
• Work closely with other departments (e.g., medical, medical records) to ensure that all necessary information is obtained to process claims.
• Monitor claim volumes and identify trends or issues that may impact the department's performance.
• Ensure that all claims are processed in a timely manner and that payments are made accurately.
• Review denied claims to determine if they can be resubmitted or appealed.
• Provide training to staf on new policies or procedures related to claims processing.
• Maintain accurate records of all claim activities, including denials, appeals, and payments.