• Ensure high accuracy in claims processes for insurance and corporate review, adhering to contractual agreements for efficient reimbursement.
• Provide customer service support for insurance verification, eligibility, and preauthorization.
• Accurately liaise with staff to ensure timely entry of insurance information and benefits.
• Verify claims compliance with billing guidelines.
• Communicate insurance guidelines and procedures to front-line staff.
• Support other departments and payers in tracking payments.
• Maintain proper records and files for claims correspondence with insurance and private or corporate businesses.
• Contribute to developing insurance guidelines, frameworks, and processes within MH.
• Analyze claim adjustments, bad debt provisions, and contractual allowances.
• Perform accuracy checks for all claim submissions and resubmissions as per agreed contracts.
• Coordinate discussions between billing clerks and utilization nurses for insurance claims process.
• Manage a collection desk for outstanding balances in the revenue cyc
Required:
• Bachelor’s Degree in Finance, Accounting,Business Administration or related fields.
• Two to three (2-3) years of progressive career experience in Finance/Accounting/Insurance environment in a healthcare facility.
• Strong analytical and problem-solving skills.
• Knowledge of revenue cycle management within the healthcare environment.
• Knowledge of basic medical coding and third-party operating procedures and practices.
• Knowledge of medical billing/collection practices.
• Proficiency with Microsoft Office suite.
• Fluency in written and spoken English.
Desired:
• Certification in Coding.
• Experience in insurance practices in the UAE.
• Fluency in written and spoken Arabic.
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