Medical Claims Officer

Your tasks

• Conduct technical audits on medical/inpatient claims.
• Review patient records, medical bills, and submitted claims.
• Ensure claims comply with hospital and insurance policies.
• Identify discrepancies, errors, and unusual claim patterns.
• Handle daily dashboards and follow RCM processes.
• Coordinate with relevant departments to resolve claim issues.
• Prepare audit findings and recommendations.

Requirements

• Bachelor’s degree in medicine
• 1–3 years of experience in Medical Claims
• Strong communication skills