Senior TPA Accountant

Overview

Job Summary

Duties and Responsibilities

• Manage billing and collection of all fees billed to providers.
• Provide ongoing support to providers via phone and email.
• Perform daily claims reconciliation with providers.
• Prepare and confirm yearly financial balance confirmations.
• Reconcile and confirm provider balances, including administration fees and volume rebates.
• Reconcile claims between i‑Gem and TPA systems.
• Reconcile advances and allocations with providers.
• Review system‑calculated discounts for pharmacies, physiotherapy centers, polyclinics and doctors.
• Perform manual discount calculations for hospitals and laboratories.
• Resolve discrepancies related to payments, discounts, DSN, DSC, VLM and other variances.
• Follow up on debit and credit note allocations with guarantors and providers.
• Ensure accurate reconciliation between the TPA system and Accounting system.

Qualifications and Skills

• Bachelor Degree in Business Administration, Accounting or Finance.
• 5+ years of experience in Accounting ledger, Financial statements, Reconciliation of accounts.
• Good written and oral communication skills.
• Sufficient organization abilities to complete job responsibilities within given deadlines and with accurate attention to detail.
• Ability to coordinate between different units and external stakeholders.
• Customer & detail oriented.

Application Question(s)

• Are you currently based in UAE?

Education

• Bachelor's (Required)

Experience

• Accounting: 5 years (Required)