Billing and Revenue Recovery Officer-Billing and Recoveries
Skills
About This Role
Overview
- ****JOB DESCRIPTION****
- Job holder is responsible for the identification, mitigation, and prevention of denials along with preparing reports on clinical disputes based on the criteria documented.
- Assists with day-to-day revenue cycle denial operations and support process improvement initiatives for coding, billing, and collections activities associated with Denial Prevention
- ****RESPONSIBILITIES****
- Monitors compliance the rules and the contractual terms and agreement with the insurance companies and DOH Guidelines
- Ensures compliance by the facility pricing structure and the rules for the different patient categories (including self-payer) with implementation
- Prepares submission for all the patient invoice (Claims) through electronically.
- Maintains and report incorrect charges and charges not captured to Team Billing Lead or Billing Manager. Bill all secondary claims processed on a daily basis that is produced by billing system
- Ensures that DRG revisions are billed on a timely manner according to the billing policy
- Maintains a high level of productivity while maintaining accuracy.
- Maintains a working knowledge of all universal billing guidelines for all assigned payers
- Assists and works on all HCPCS revisions for rebills daily.
- Analysis and rebilling of late charges. Rebilling must be done for all late charges according to current policies
- Organizes, negotiate, and communicate clinical claim denials with internal clinical staff and the financial services department, as well as external claims representatives of a variety of insurers
- Participates in external payer meetings, presenting payer performance related to denials
- Serves as the Subject Matter Expert (SME) for clinical denials documentation and payer clinical guideline
- Conducts follow-up on claims unpaid, partially paid or denied, including appeals and resubmission to the insurance company
- Maintains claims documentation
- Assists in the development of reporting mechanisms to identify trends
- Delivers solutions to simpler issues facing the employees and presenting complex issues to the Senior Billing and Revenue recoveries
- Corresponds with different vendors for the purpose of account verification and details of payment.
- Consults with other disciplines and other ancillary departments (i.e. physician, coding, OR, cardiology, pharmacy, purchasing, case management, respiratory therapy, clinical
- documentation specialists, etc.) as needed to obtain necessary documentation to support the clinical appeal and implement prevention
- Promotes effective communication strategies within the team and maintains interdepartmental liaison where necessary
- Manages to work with all stakeholders when identifying trends that can lead to inappropriate denial
- Proactively identifies problems and opportunity for improvements related to system usage, training and end user education, practice and user trends and makes recommendations to the Manager of Revenue Recovery for resolution
- Identifies, monitors and presents monthly denial performance accompanied with case studies and recommendations for process improvement
- Manages to respond to verbal and written inquiries in a timely manner.
Accountabilities
- Maintains and creates invoices and billing materials to be sent directly to a customer or patient. Ensures payment history, upcoming payment information or other financial data into an individual account.
- ****QUALIFICATIONS****
Required
- Extensive knowledge of healthcare revenue cycle systems
- A minimum of (5) years of healthcare customer service, claims, denials, appeals, compliance or related experience is require
- Strong knowledge of third-party payer reimbursement, eligibility verification process and government and payer compliance rules
- Knowledge of general medical terminology, CPT, ICD-9 and ICD-10 coding
- Strong knowledge of third-party payer reimbursement, eligibility verification process and government and payer compliance rule
Desired
- Experience in a large healthcare facility
- Experience in training and staff development
Education
- al Qualification: Required:
- Bachelor in Accounting/Finance/Commerce or relevant field
Desired
- Clinical Coding Certification, BS in Accounting, Finance, Business Administration or Healthcare.
- Master's in Business Administration or Healthcare preferred
- Healthcare Certification (FHFMA and/or FACHE) preferred
Your resume, rewritten
for this exact role.
Sign up free — Base Career tailors your CV to this job description in 60 seconds.
01 / 05
Resume Tailored to This Job
Your keywords, structure, and story — rewritten to match this exact role and pass ATS filters.
Free · No card · 60 seconds
02 / 05
Cover Letter for This Role, Done
Job-specific cover letters written in Gulf professional tone — ready in seconds, not hours.
Free · No card · 60 seconds
03 / 05
See How Well You Fit This Role
AI match score with clear reasons — know your fit before investing time in the application.
Free · No card · 60 seconds
04 / 05
Apply in One Click
Autofill any application form on Workday, LinkedIn, Bayt, Greenhouse — with your tailored content.
Free · No card · 60 seconds
05 / 05
Track It. Follow Up at the Right Time.
Visual pipeline for every application with AI-timed follow-up reminders so nothing slips.
Free · No card · 60 seconds
Similar Jobs
Billing and Accounts Receivable Coordinator
Confidential · Abu Dhabi
We are one of the leading oil & gas companies in the region We are seeking a detail-oriented and proactive Billing and Accounts Coordinator to support invoicing, receivables follow-up, and customer account administration
Skills
Billing and Accounts Receivable Coordinator
Confidential Company · Abu Dhabi
We are one of the leading oil & gas companies in the region We are seeking a detail-oriented and proactive Billing and Accounts Coordinator to support invoicing, receivables fol...
Skills
3 days ago
Apply Now↗Apply Now ↗Billing and Accounts Receivable Specialist
Mace · Dubai
Mace combines construction expertise with consultancy to unlock potential in every person or project and redefine the boundaries of ambition. Our values shape the way we consult and define the people we want to join us o
Skills
3 days ago
Apply Now↗Apply Now ↗Billing And Accounts Receivable Specialist
TALENTMATE · Dubai
Job Description Mace combines construction expertise with consultancy to unlock potential in every person or project and redefine the boundaries of ambition. Our values shape the way we consult and define the people we w
Skills
3 days ago
Apply Now↗Apply Now ↗Billing and Accounts Receivable Coordinator
Confidential · Abu Dhabi
We are one of the leading oil & gas companies in the region We are seeking a detail-oriented and proactive Billing and Accounts Coordinator to support invoicing, receivables follow-up, and customer account administration
Skills
4 days ago
Apply Now↗Apply Now ↗BILLING AND MEDICAL CODER – HOMECARE
National Emirates for Medical Services · Abu Dhabi
We are currently seeking a Billing and Medical Coder with prior experience in the homecare sector to join our team in Abu Dhabi. The ideal candidate will be responsible for accurately coding medical procedures and servic
Skills
4 days ago
Apply Now↗Apply Now ↗Billing and Revenue Recovery Officer
Smart Research System · Abu Dhabi
Billing & Revenue Recovery Officer (RCM) - UAEN For SSMC - Sheikh Shakhbout Medical City, Abu Dhabi We are looking for a Billing & Revenue Recovery Officer to support revenue cycle operations, with a strong focus on clai
Skills
1 months ago
Apply Now↗Apply Now ↗Billing and Revenue Recovery Officer - UAE National/Emirati
Smart Research System · Abu Dhabi
Billing & Revenue Recovery Officer (RCM) - UAEN For SSMC - Sheikh Shakhbout Medical City, Abu Dhabi We are looking for a Billing & Revenue Recovery Officer to support revenue cycle operations, with a strong focus on clai
Skills
1 months ago
Apply Now↗Apply Now ↗2.2K+
Cover Letters & Follow-ups
1.8K+
Resumes Tailored
190.5K+
Jobs Tracked
Trusted by professionals at
Stop applying blindly.
Start getting hired.
Base Career automates the hardest parts of job searching — apply smarter, not harder.
AI Resume in 60s
Your resume rewritten for this exact role using the job description as the brief.
ATS-Optimized
Get past automated screening filters with the right keywords matched to each job.
Application Tracker
Track every job, follow-up, and interview in one visual kanban board.
Free plan · No credit card required