Medical & Revenue Cycle Management (RCM) Specialist
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Key skills for this role
About the Role
Handle medical billing, insurance claims processing, coding, and revenue cycle operations. Verify patient insurance eligibility, submit claims, manage accounts receivable, and ensure compliance with healthcare regulations.
Key Skills for This Role
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Overview
We are seeking a detail-oriented and experienced Medical & Revenue Cycle Management (RCM) Specialist to join our healthcare team.
The ideal candidate will have a strong understanding of medical billing, insurance claims processing, coding principles, and revenue cycle operations.
This role is responsible for ensuring accurate claim submission, timely reimbursement, denial management, and compliance with healthcare regulations.
Key Responsibilities
- Verify patient insurance eligibility and benefits.
- Prepare, submit, and track medical insurance claims.
- Process charge entry and payment posting accurately.
- Follow up on unpaid, rejected, and denied claims.
- Manage accounts receivable (AR) and ensure timely collections.
- Coordinate with insurance companies regarding claim status and appeals.
- Review medical documentation for billing accuracy.
- Assist with coding compliance and billing regulations.
- Generate revenue cycle reports and identify opportunities for process improvement.
- Maintain patient confidentiality and comply with applicable healthcare regulations.
Qualifications
- Bachelor's degree in Healthcare Administration, Medical Sciences, Business Administration, or a related field.
- Minimum of 2 years of experience in medical billing, coding, or Revenue Cycle Management.
- Knowledge of ICD-10, CPT, and HCPCS coding is an advantage.
- Familiarity with insurance payers, claim submission processes, and denial management.
- Proficiency in Microsoft Office and healthcare billing/EMR systems.
- Excellent communication, analytical, and problem-solving skills.
- Strong attention to detail and ability to manage multiple priorities.
Preferred Qualifications
- CPC, CCS, or other relevant coding certification is preferred.
- Experience with hospital or clinic revenue cycle operations.
- Knowledge of UAE healthcare insurance processes is an advantage.
- Apply in Indeed
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