REVENUE CYCLE OFFICER
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Key skills for this role
About the Role
1.1 Review insurance contracts and policies to have the guidelines for our facility. 1.
Key Skills for This Role
Full Job Posting
Overview
- 1.1 Review insurance contracts and policies to have the guidelines for our facility.
- 1.2 Enter all insurance companies and accepted networks.
- 1.3 Enter and adjust price lists & profiles for the accepted insurance companies.
- 1.4 Apply the agreed factors and percentage to the price lists as per the contracts.
- 1.5 Applying updates to the insurance companies, accepted networks, and price lists.
- 1.6 Give receptions & cashiers guidelines and instructions about acceptance, coverage, eligibility check portals, and answer queries related to insurance.
- 1.7 Provide insurance details and assistance regarding coverage and insurance invoices.
- 1.8 Guiding other departments on how to proceed with the claim.
- 1.9 Responsible for insurance approval department.
- 1.10 Collecting accurate information and documents to proceed with the request and claim.
- 1.11 Use the requested module by insurance companies to proceed preauthorization request.
- 1.12 Assist doctors if needed in completing preauthorization requests, and clarify the requirement of insurance companies.
- 1.13 Reviewing & arranging approval letters, and send for correction or cancellation in case it was required.
- 1.14 Provide needed information & clarification for coding team regarding any insurance issues and policies related to our center.
- 1.15 Responsible to contact insurance companies regarding any related issues.
- 1.16 Review insurance policies and explain it to concerned departments.
- 1.17 Minimize risk of financial loss by assisting all departments to follow insurance policies.
- 1.18 Identifying reasons why full payment may not be made.
- 1.19 Handling complaints associated with a claim.
- 1.20 Provide appropriate guidelines for insurance coverage to doctors.
- 1.21 Maintaining approval invoices segregated which helps in coding process.
- 1.22 Daily cash review & collection.
- 1.23 Coordinate with the insurance companies regarding due payments.
- 1.24 Responsible for the Collection of Billing Accounts.
- 1.25 Monitoring of the collection.
- Pay: From AED1.00 per hour
- Ability to commute/relocate:
- Al-Ayn: Reliably commute or planning to relocate before starting work (Preferred)
Education
- Bachelor's (Required)
Experience
- Revenue cycle management: 4 years (Required)
- UAE Healthcare: 4 years (Required)
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