Hybrid Senior Clinical Claims Review Analyst

Posted last week

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About the role

  • Interpreting key information from medical reports/invoices
  • Analyzing invoices to identify cost containment opportunities
  • Reviewing claims from a clinical point of view directly with Providers
  • Collaborating with colleagues across the business
  • Attending meetings to discuss and improve workflows
  • Serving as a contact for expert advice on R&C calculations
  • Taking ownership of production and meeting outputs

Requirements

  • Clinical Background (Nurse/Clinical officer)
  • Passive knowledge of French/German/Italian, additional languages is a plus
  • Experience with processing provider claims is a plus
  • Affinity with medical terminology is a plus
  • ICD knowledge is a plus
  • Proactive and driven with integrity
  • Ability to approach people confidently
  • Tech-savvy, able to work with different systems/applications simultaneously
  • Attention to detail and accuracy
  • Flexible with ability to shift priorities when required

Benefits

  • Health insurance
  • Flexible work arrangements

Job title

Senior Clinical Claims Review Analyst

Job type

Experience level

Senior

Salary

Not specified

Degree requirement

No Education Requirement

Location requirements

HybridKenya

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