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Healthcare Enquiry Investigator
1 week ago
Job Description:
The Healthcare Enquiry Investigator plays a critical role in ensuring the accuracy and fairness of medical claims. This involves investigating short payments or non-payments on all account enquiries from customers regarding hospital, private nursing and sub-acute facility claims.
Responsibilities:
- Clinical evaluation of enquiries
- Applying clinical knowledge on the feedback or granting of benefits
- Ensuring compliance with CMS guidelines, protocols and policies
Requirements:
- Enrolled Nurse qualification
- Two years clinical experience
What We Offer:
Medihelp offers a competitive salary package, comprehensive training and development opportunities, and a supportive work environment that promotes professional growth and well-being.
