Opportunity Description
Claims Management Document Handling
The Claims Management – Tracking Officer is responsible for monitoring all Direct Claims received from providers in line with Nextcare standards. This role ensures that Nextcare’s operational standards are met with maximum productivity and efficienc
Key responsibilities/What you do:
- Regularly review and track claims from providers, including these key duties:
- Verify claim submissions for completeness.
- Confirm adherence to the required submission formats, such as general and detailed statements of account.
- Perform initial checks comparing the count of physical claims received against the statement.
- Provide timely feedback for corrections, missing information, or format discrepancies.
- Organize received claims into batches according to standards and deliver physical claims to the Retrospective team.
- Maintain accurate documentat...
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