Job Field: Sector in Insurance , Medical / Healthcare
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Medical Claims Vetter
Job Description To process medical claims with a focus on cost control and management of member benefits through vetting and coding of inpatient and outpatient bills and capturing in the company medical business operating system(s) Job Description Verify, audit and Vet medical claims for payment for both outpatient and inpatient claims as per the claim’s…
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Case Management Nurse – FT-1 Alternative Distribution Channels Manager
Job Description Pre-authorize scheduled and nonscheduled admissions within the set guidelines. Negotiate/discuss professional fees as appropriate for each admission. Set the appropriate parameters for each admission (claim reserve, initial authorized cost and duration). Visit all admitted clients within Nairobi region and its environs Liaise with Doctors on the day to day management of patients and…
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Claims Analyst
Job Description To process medical claims with a focus on cost control and management of member benefits through vetting and coding of inpatient and outpatient bills and capturing in the company medical business operating system(s) Verify, audit and Vet medical claims for payment for both outpatient and inpatient claims as per the claim’s manual/Standard operating…