Evaluates and identifies the company’s requirements and makes appropriate recommendations in commensurate with the established policies and procedures.
Evaluates proposal received from companies Company for all coverage, conducts analysis, and submits reports with recommendations.
Receive Inpatient cases (PPS/SPS/Regular admission) and ensuring that documents are complete and arranges.
Receive daily finished claims and print companies invoice in each claim.
Submit finished claims to be perform by Liaison Physician.
Submit requested claims to Physician that require review.
Receive approved services.
Receive rejected claims and re-worked on it for resubmission.
Check billed statements according to requiring confirmation confirmed and rejected summarization all status
Keep communicate to Aramco Accounting Office in all matters.
Comply with the requirements and coverage of policy provided by Aramco.
Work on PCP monthly for the payment.
General Supervising in Claims department.
Provide personalized coordinated care, and support for patients and families.
Treat people with dignity, compassion, and respect.
