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What is the difference between ...medical claims officer ....medical auditor ?

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Question ajoutée par abdulrhman frikha , MEDICAL CLAIMS SPECILAIST AND PROVIDER RELATIONSHIP , GLOBEMED SAUDI
Date de publication: 2016/03/06
abdulrhman frikha
par abdulrhman frikha , MEDICAL CLAIMS SPECILAIST AND PROVIDER RELATIONSHIP , GLOBEMED SAUDI

MEDICAL OFFICER RESPONSIBLE ABOUT A LOT OF TASKS MAY INCLUDING MEDICAL AUDITINGMEDICAL AUDITING HAVE ONLY ONE TASK TO REVISE MEDICAL CLAIMS

Utilisateur supprimé
par Utilisateur supprimé

A medical claims officer process all claims from patients wishing to be reimbursed after paying for medical benefits, all after making sure that medical services are covered under said patient policy and personal information is correct. 

 

An auditor don't work directly with patients (most of the time) but with other colleagues in the insurance company, his job is to review claims and documents and make sure of its compliance with governmental regulations. 

Vinod Jetley
par Vinod Jetley , Assistant General Manager , State Bank of India

MEDICAL CLAIMS OFFICER – NETWORK CLAIMS Location: United Arab Emirates Salary Sector: Insurance-Life and Medical Job Type: Contract.... Job Description: Reporting to the Medical Claims Team Leader, the selected candidate will work alongside a team and process all claims accurately and efficiently.

The Medial Auditor will be responsible for performing technical audit on medical claims and ensure an appropriate application of contracts... Claims Insurance Medical Insurance Pharmaceutical Claims Auditor

Yahia mohamed  Amen Gad
par Yahia mohamed Amen Gad , إدارة - مدرب - , سنابل الأجيال للتعليم والتدريب

Thank you for the invitation and I agree with the answer professors

حسين محمد ياسين
par حسين محمد ياسين , Finance Manager , مؤسسة عبد الماجد محمد العمر للمقاولات العامة

agree with answers >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>

Ghada Eweda
par Ghada Eweda , Medical sales hospital representative , Pfizer pharmaceutical Plc.

Agree on expert answer given here.Thank you.

ghazi Almahadeen
par ghazi Almahadeen , Project Facilitator , Jordan River Foundation

Thank you for the invitation ............. I have no information

Etinosa Nehizena
par Etinosa Nehizena , Leader , Touching lives international

A medical claims officer process all reviews by medical auditors,

medical auditor  reviews medical records and billing data to confirm that bills were issued appropriately. 

Medical auditors improve quality and billing accuracy and help to catch billing mistakes that can lead to under billing and other problems.

I quite agree on expert answer given here.Thank you!

 

Thanks for the invite I agree with the rest of the answers

Ahmed Mohamed Ayesh Sarkhi
par Ahmed Mohamed Ayesh Sarkhi , Shared Services Supervisor , Saudi Musheera Co. Ltd.

agree with ur answer and mr. vinod

 

Can anyone suggest a certification to be a medical auditor for a M.B.B.S doctor ,CPC coding exam already passed working as clinical auditor in Abu Dhabi

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