CAD Clerk

Main responsibilities: Responsible for reviewing claims and to ensure proper guidelines and processes have been followed.

Job duties:

- Receive insurance documents from clinic’s & E.R. cashiers.
- Look at each individual medical record.
- Check for completeness & accuracy of patient registration information.
- Examine photographs of identity and insurance card.
- Check for missing document.
- Print all needed documents UCAF, DCAF, bills, reports, identity & insurance card copies and approvals if require.
- Check for physician’s notes if filled & presence ICD 10 Diagnoses cod.
- Consult hospital records.
- Ensure proper guidelines were followed during claim phases.
- Check for completeness & accuracy of charging.
- Consult with cashiers, pharmacist’s nurses, and physicians to complete missing data/ documents.
- When the reviewer finds a problem with the record, a citation is issued to the staff member; the member is given a set time period to fix the mistake.
- Stamp claim forms & prescriptions.
- Record data and statements in report.
- Review prescriptions and prescription charges, attach them to correct claim.
- Forward to be medical review by CAD doctors.
- Prepare and present claims to forward it to accounting department.
- keep records of submission and proper filing.
- Performs related work as assigned.

Skills:
- Advanced English language skills.
- Good Microsoft word and excel skills.
- Reporting skills.
- organized.
- Good typing skills.
- Ability to inexact and discuss audit results with providers.
- Ability tot work independently.
- Team work.

Qualification:
One year minimal experience.