Medical Claims Analyst Job Fidelity Shield Insurance

• Attending to providers, specialists and customer queries by determining their requirements, answering to these inquiries, resolving problems, and ensuring good service as a friendly cost.
• Adjudicating inpatient and outpatient medical claims while verifying the accuracy of information provided.
• Managing healthcare costs by ensuring that care is appropriate, cost-effective, and aligned with policy coverage.

• Bachelor's degree or a Diploma in Nursing, Clinical Medicine, Healthcare Management.
• Strong background in medical claims assessment will be a plus including knowledge of medical terminology, coding (ICD-10, CPT, HCPCS), and treatment procedures.
• At least 1 to 3 years' of experience in health insurance claims processing, adjudication, or claims management.

• Mobile: Employers Only - 0797 452 211; 0796 630 043
• Candidates Only - 0718-610023; 0722 735 216
• CV Writing Only - 0798 568638, 0798 56 86 43

Corporate Staffing