Medical Billing Executives - Dubai

A medical biller is responsible for submitting & resubmitting medical claims to insurance companies and payers on behalf of the hospital. The main purpose of the role is to adjudicate and process the account/claim with quality in a professional manner according to policy terms and conditions. The medical biller will hold responsibility for the account/claim until payment is done. He/She needs to apply the clinical guideline and sound judgment of medical necessity when assessing the account. Additionally, the role will need to interpret and process claims with correct usage of standard codes (e.g. ICD, DRG, CPT, and HCPCS) applicable billing structure, policy terms, and benefits. Ensure that all medical information is kept confidential as per compliance.Roles And ResponsibilitiesReviewing patient bills for accuracy and completeness, and obtaining any missing informationEvaluates and processes claims per insurance policy terms and conditionsWork following company policies and proceduresIdentify and report back any type of claims observation or issues that may affect the processEvaluates and ensures that all claims denied or underpaid inappropriately by Payers are identified, appealed and reversedReviewing claims to make sure that billing requirements are met, updates accounts as necessary, answers inquiries and makes recommendations for resolutionEnsures that targets are met for department Turnaround time, Quality and ProductivityEducation, Experience, And Skills NeededEducation: Degree in any related field preferably life science background.Minimum 1-2 years’ recent experience in Revenue Cycle Management - Eligibility and Authorization, Claim Submission & Resubmission. Both inpatient and outpatient experience preferred.Expert knowledge of medical conditions, treatments, procedures and standard codesWillingness to work in different shiftsWillingness to work from a different facilityAnalytical skills to review the account before submission to the payer and ensure all required data elements are correct as per the insurance and medical code setsBasic understanding of the billing and payer adjudication guidelines related to DHABasic knowledge of medical terminologyProficiency in the use of PCs and MS Office suiteExcellent in communication skillsUnderstanding of the various RCM departmentsFluent Arabic speaking skills#J-18808-Ljbffr