Claims Specialist
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Key skills for this role
About the Role
Department: Revenue Cycle Management About the Role We are seeking a skilled Claim Specialist to oversee claims submission and fund collection from insurance companies and corporate partners while leading a high-performing RCM team.
Key Skills for This Role
Full Job Posting
About The Role
We are seeking a skilled
Claim Specialist
to oversee claims submission and fund collection from insurance companies and corporate partners while leading a high-performing RCM team.
Responsibilities
- Lead the RCM Officers team and manage daily task distribution.
- Ensure accurate, complete, and CHI-compliant invoices and claims prior to submission.
- Oversee dispatch, collection, and submission reports and maintain accurate payment records.
- Manage rejected/disallowed claims and ensure timely resubmission.
- Drive individual and team collection targets in line with hospital policies.
Qualifications
- Bachelor's degree in medicine or healthcare.
- Minimum 3 years' experience in billing/accounts within the healthcare industry.
- Prior experience in a claim management team lead role within KSA.
- Licensed professional coder is a plus.
- Strong knowledge of local insurers, TPAs & CHI regulations.
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