للتقدم للوظيفة : رابط الوظيفة من هنا. 

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• Audit and review medical and financial claims to ensure accuracy, compliance, and adherence to company policies and industry regulations.
• Analyze claim documentation for completeness, validity, and proper coding.
• Identify discrepancies, errors, or fraudulent activities within submitted claims and recommend corrective actions.
• Collaborate with medical, administrative, and finance teams to resolve claim issues and gather necessary supporting documentation.
• Prepare detailed audit reports and present findings to management for further action.
• Maintain up-to-date knowledge of insurance policies, billing procedures, and regulatory requirements relevant to claims processing.
• Assist in the development and implementation of internal controls and best practices for claims auditing.
• Participate in training sessions and workshops to stay current with evolving industry standards and compliance guidelines.
• Support month-end and year-end closing processes by providing accurate claims data and reconciliations.
• Contribute to process improvement initiatives aimed at enhancing the efficiency and accuracy of claims auditing.

Job Requirements

• Bachelor’s degree in accounting, Finance, Business Administration, or a related field.
• 1-2 years of experience in claims auditing, accounting, or a similar financial role.
• Strong understanding of medical billing, insurance claims, and healthcare reimbursement processes.
• Excellent analytical and problem-solving skills with keen attention to detail.
• Proficiency in Microsoft Office Suite, especially Excel, and familiarity with accounting or claims management software.
• Ability to interpret and apply regulatory guidelines and company policies.
• Strong organizational and time management skills to handle multiple tasks and meet deadlines.
• Effective communication skills for collaborating with cross-functional teams.
• Demonstrated integrity and discretion when handling sensitive financial and medical information.
• Willingness to work on-site in a fast-paced office environment.