Revenue Cycle and Insurance Specialist
Abu Dhabi
Industry: Hospitals
Career: Management
Job Location: Abu Dhabi
Salary: Unspecified
Experience: 2 - 5 Years
Job Type: Full Time
Gender: Any
Contact No.: 0568040677
Email: hr@yateemeye-center.ae
Description:
- Verifies all of the information for claims billing is correct. Contacts the appropriate person to obtain missing or unclear billing information.
- Reviews all funding invoices to determine the correct billing method. Completes claim form through.
- Attaches required documentation for payment.
- Follows up by phone on all unpaid and denied claims. Determines next course of action, which may require re-billing missing claims, denied claims OR sending additional information on pending claims.
- Handles third party customer questions, complaints, and problems once an order has been invoiced.
- Completes all necessary follow-up in a timely manner so the payment process will not be delayed. Must stay current on follow ups, so billing deadlines are not missed.
- Respond to and interact with customers concerning all aspects of billing through phone, email or regular mail in a prompt and courteous manner.
- Relays changes in regulations discovered by claim denials to all pertinent personnel.
- Implementation of all Revenue Cycle team plans, programs, and projects strictly adhering to prescribed deadlines and schedules.
- Manages and oversees the patient services and billing staff in handling patient relations.
- Act as an intermediary between a healthcare facility and the insurance companies.
- Be responsible for submitting paperwork to insurance companies for the purpose of seeking reimbursement for medical procedures performed.
- Have to be familiar with a variety of industry-standard coding systems, such as CPT and ICD-9/10 diagnostic codes, that are often used in insurance claims submissions.
- May also have to contact the insurance companies before a patient receives medical treatments to ensure that the procedures are covered.
- Have to work with patients to correctly fill out paperwork, doctors to verify that the proper procedures are submitted, and insurance representatives to ensure proper reimbursement.
- You may also be expected to perform some basic clerical duties in the medical office, such as answering telephones, managing patient correspondence, and entering data into computers.
