Job Description
Supports revenue cycle operations by managing billing, coding, claims processing, and payment reconciliation. Ensures accurate and timely revenue capture while maintaining compliance with payer guidelines and regulatory requirements within.
Key Responsibilities
- Process patient billing, insurance claims, and reimbursements accurately and within defined timelines.
- Verify patient insurance eligibility, coverage, and authorizations.
- Review and validate medical coding, charges, and documentation for accuracy and compliance.
- Follow up on denied or pending claims to ensure timely resolution and payment.
- Post payments, reconcile accounts, and identify discrepancies.
- Coordinate with clinical, front-office, and insurance teams to resolve billing issues.
- Maintain accurate records and reports related to revenue cycle activities.
- Ensure compliance with payer policies, healthcare regulations, and internal procedures.
Skill & Experience
- Strong understanding of revenue cycle management, medical billing, and insurance processes.
- Attention to detail and accuracy in data entry and financial documentation.
- Analytical and problem-solving skills.
- Effective communication and coordination abilities.
- Proficiency in hospital information systems (HIS), billing software, and MS Office tools.
- Ability to work independently and as part of a team in a fast-paced environment.
- Bachelor’s degree in Healthcare Administration, Finance, Business, or a related field.
- Previous experience in revenue cycle management, medical billing, or insurance processing is preferred.
- Knowledge of UAE insurance regulations and payer guidelines is an advantage.
- Familiarity with ICD-10, CPT coding, and billing standards is desirable.