Medical Billing/ Coding Specialist
Full time
at 97 HealthCare in
Dubai, UAE
Job highlights
Posted on February 26, 2017- Professional background in
- Job level Experienced
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Pays salary of
AED 5,000 - AED 10,000 /month
(Fixed Salary)
Job details
Position Summary:
Perform duties to process medical billing and collections with focus on accuracy, timeliness and adherence to process, to reduce denial rate, DSO, and bad debt, recognize of additional revenue opportunities, and improve in collection rates, while working within the limits of standard or accepted practice.
Essential Functions:
• Review patient files for completeness and accuracy, identify and audit claims, ensure all revenue opportunities are included, and complete and submit billing to payers for reimbursement, via paper bills and clearing house submittals.
• Review documents received including Explanations of Benefits (EOBs), Remittance Advices (RAs) and other documents indicating denials or claims acceptance. Identify reasons for denials, take required corrective action, and take ownership of claims through to timely, successful collection.
• Analyze denials, identify trends and recommend process improvement opportunities that will result in DSO reduction, superior collection rate and intervals, reduced bad debt, and simplified processes that are responsive to the requirements of specific payers.
• Review claims with outstanding balances and identify actions to successfully collect revenues. Follow up with insurers and patients to collect outstanding balances in an environment of world-class customer service focused on building enduring customer and business relationships.
• Document case activity, communications and correspondence in computer system to ensure completeness and accuracy of account activity and actions taken to resolve outstanding claims issues.
• Contribute medical billing expertise to the design of training and knowledge transfer programs, materials, policies and procedures to improve the efficiency and effectiveness of the Revenue Cycle Management team.
• Assist with the processing on online adjudication of collection issues and nurse billing as assigned.
Other Duties:
• Perform or assist with any operations, as required to maintain workflow and to meet schedules and quality requirements.
• Participate in any variety of meetings and work groups to integrate activities, communicate issues, obtain approvals, resolve problems and maintain specified level of knowledge pertaining to new developments, requirements, and policies.
• Perform other related duties as assigned.
Competency:
• Superior communications skills; listening, speaking, understanding, and writing English while influencing patients, care givers, payer representatives and others, answering questions and advancing reimbursement and collection efforts.
• Proven understanding of processes, systems and techniques to ensure successful billing and collection working with all payer types.
• Proven ability to identify gaps and problems from review of documentation, determine lasting solutions, make effective decisions, and take necessary corrective action.
Education/Experience Requirements:
• High School Diploma or equivalent and additional specialized training in medical billing.
• 4 to 5 years of medical billing experience.
• Coding Course Certification is highly preferred.
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