Panel Claim Officer / Pharmacist

Job Overview

We are seeking a meticulous and responsible Panel Claim Officer / Pharmacist to join our clinic’s finance and administrative team. This position focuses on Panel Claim Management , ensuring accurate billing, timely collection of payments, and proper reconciliation of panel and insurance claims. The ideal candidate should have strong attention to detail, good communication with panel partners, and a sound understanding of healthcare billing processes.

Key Responsibilities

• Prepare, verify, and submit panel claims to corporate, insurance, and third‑party administrators (TPAs) accurately and within stipulated timelines.
• Monitor claim rejections, pending approvals, and unpaid claims, ensuring prompt resubmission or clarification to panels.
• Maintain organized documentation of all submitted, approved, and rejected claims.
• Liaise with panel companies, TPAs, and insurance representatives to resolve discrepancies, delays, or disputes.
• Ensure compliance with each panel’s claim format, tariff code, and policy requirements.
• Update and maintain the panel claim tracker / AR aging report for management review.
• Work closely with clinic operations to ensure proper recording of panel visits and claimable services.
• Coordinate with the Resident Doctor and Clinic Manager for medical report requests or justifications required for claim approvals.

Requirements

Benefits

Application Questions

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