Medical audit - Cairo, Cairo

This role involves reviewing and auditing medical reports for accuracy and compliance with healthcare regulations at Dar Al Orouba Hospital in Cairo. · Reviewing and auditing medical reports for accuracy and completeness. · Ensuring alignment with healthcare regulations. · ...

We're Hiring – Medical Claims Audit Officer. · About Axon HealthTech: · Axon is one of Egypt's fastest-growing HealthTech companies, · pioneering digital healthcare services such as third-party administration (TPA), medical discount programs (Axon Plus), · and corporate wellness ...

+We are hiring for a Medical Claims Audit Officer at Axon HealthTech. · Axon is one of Egypt's fastest-growing HealthTech companies. · +Bachelor's degree in Pharmacy or Medicine (required). · Previous experience in medical claims auditing, medical coding, or healthcare insurance ...

We're Hiring – Medical Senior Claims Audit OfficerThe Medical Senior Claims Audit Officer is responsible for overseeing the review and audit of medical claims to ensure compliance with company policies, · medical guidelines, · and regulatory standards. · ...

Responsible for activities concerned with review and inspection to apply quality standards for operational claim processes and adjudication. · Audit, assess, · and monitor providers and payers, · to include but not limited to physicians, · inpatient,outpatient, · ancillary, · beh ...

This position provides quality services mainly through KPI's review and process review. Provide overall guidance about the medical cases review and evaluation activities ensuring compliance with established policy guidelines. · Review all KPI's and SLA's and process in place for ...

Auditing of medical claims (inpatient and outpatient) to ensure that all the medical bills are within the contracted price list and approval criteria according to Mersal policy. · ...

Assist the audit manager in developing audit plans, auditing programs, and timelines for assigned projects. · Evaluate internal controls and suggest process improvements. · Analyze data to identify fraud, incompliance, and regulations concerns, · & detect any internal control def ...

Job summary Senior Medical Officer – Rule Engine responsible for managing configuring reviewing testing continuously updating automation rule engines supporting Approvals Claims automation FWA detection medical rules business requirement rules Ensure rules accurate compliant data ...

This position provides quality services mainly through KPI's review process review and authority matrix related to medical and technical evaluation across the Claims Hub platform ensuring the products or services meet established standards of quality including reliability usabili ...

Nerva Consulting is on the lookout for a talented External Audit Associate to join our dynamic team · ...

We are looking for skilled Senior Officer – Utilization Management who will be responsible for hands-on analysis of healthcare utilization and claims data across insurance policies to identify burning cost drivers, abnormal billing patterns, · and potential fraud, waste, · and ab ...

We are looking for a skilled Senior Claims Officer who will process and audit all medical claims efficiently and accurately according to scope of coverage and provider contracts / SOPs of payers and policy holders. · ...

This is a full-time role for an Internal Auditor located in Cairo. · ...

Job summary · A Senior Payroll Specialist prepares monthly payroll data including editing newcomers final settlement resigned employees deductions compensation. Prepares monthly payroll issue pay slips Maintains employment records related events hiring termination leaves transfer ...

Prepare PV files and ensure timely reporting of ICSR · Pharmacist ONLY · 0-3 Years of experience in the same or a relevant field. · ...

+Job summary · Join ACROW FORMWORK TECHNOLOGY Growing Team now as "Senior Internal Auditor".Candidate Requirements · Bachelor's degree in accounting or a related financial discipline. · 3 to 5 years of proven experience in Internal Audit ( · Manufacturing background is highly pre ...

This is a full-time on-site role for a senior external auditor position. · ...

Supervise and lead the medical approval team manage and oversee the medical approval process coordinate and meet with responsible stakeholders across different accounts. · ...

The HR Payroll Specialist is responsible for managing all payroll and personnel operations, ensuring accurate and timely salary processing. · Prepare monthly payroll data including editing newcomers salaries. · Prepare employment records related to events such as hiring terminati ...