Claim Auditor (Accountant)
Cairoscan
Posted 30+ days ago
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Nationality
Any Nationality
Gender
Not Mentioned
Vacancy
1 Vacancy
Job Description
Roles & Responsibilities
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.
Desired Candidate Profile
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.
Company Industry
- Recruitment
- Placement Firm
- Executive Search
Department / Functional Area
- Accounts
- Taxation
- Audit
- Company Secretary
Keywords
- Claim Auditor (Accountant)
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