Responsible for overseeing all aspects of the revenue cycle, including patient registration, insurance verification, charge capture, coding, billing, and collections.
Monitor and manage claims submissions, payments, denials, coding compliance and appeals processes.
Ensure accurate and timely processing of medical claims to insurance companies and other third parties.Key Responsibilities:
Analyze medical reports, patient records, and claims submissions.Verify the accuracy of the information provided by all stakeholders.Ensure that claims adhere to the terms of the insurance policy.Maintain accurate records of claim evaluations, approvals, and denials.Record Keeping and Reporting.Maintain accurate and detailed records of claims assessments and processing activities.Ensure compliance with regulatory requirements and company policies.Skills:
Good Communication SkillsMicrosoft Office software (Excel, Word, etc.)Problem-Solving SkillsICD 10 Coding is preferredData AnalyticsAbility to work independently and as part of a team.Education:
Bachelor's degree in healthcare administration, insurance, or related field.
Medical background is helpful.
•
Receive real-time job alerts and never miss the right job again
SA - Riyadh
January 1, 2025
Tamheer - Clinical Excellence Enhance communication with Bupa customer: • To maintain communication with patients and their family members in person, as well as through outreach calls, in order to enhance Bupa's reputation and address any concerns or issues that the customer or their family may...
SA - Al ‘Aqrabiyah
December 15, 2024
Khobar, Saudi Arabia • Posted 3 days ago | Expires in 2 months • ResponsibilitiesEnhance communication with Bupa customers : To maintain communication with patients and their family members in person, as well as through outreach calls, in order to enhance Bupa's reputation and address any...
SA - Riyadh
January 2, 2025
Responsibilities: • Promote BA services by supporting members to utilize services (Tebtom, Rahatkom, Telemedicine, etc.) and keep members engaged with company services. • Guide members on points of contact for queries and communication. • Update members on insurance coverage details,...
SA - Jeddah
December 30, 2024
The Otolaryngology Senior Registrar/Specialist (ENT Senior Registrar/Specialist) plays a crucial role in providing high-quality, patient-centered care through telehealth consultations. • This individual will leverage their extensive expertise in otolaryngology to diagnose and manage a wide...
SA - Riyadh
December 12, 2024
High level of customer service and professionalismFollow customer service procedures as outlined in the manual to comply with the department's procedures and standards. • Maintain a thorough knowledge of all departments, our company network of hospitals, products and services so that customers...
SA - SA
January 1, 2025
Responsible for overseeing all aspects of the revenue cycle, including patient registration, insurance verification, charge capture, coding, billing, and collections. • Monitor and manage claims submissions, payments, denials, coding compliance and appeals processes. • Ensure accurate and...
SA - SA
December 31, 2024
Senior Associate - Health Coordination (Pipeline) Role Purpose: • Is responsible for answering customer inquiries face to face, over the phone, and via e-mail, ensuring that all calls and member requests are processed as per the company standards and provide a competent, courteous, efficient,...
SA - Jeddah
December 15, 2024
• Verify each stated vacancy against the actual head count for the relevant department to avoid unnecessary recruitment costs. • • Utilize the manpower plan and direction from the Recruitment Manager to plan recruitment tasks covering sourcing, interviewing, testing, and final selection to...