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RCM Officer

Sharjah, United Arab Emirates

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Job Description

  • Coordinates with clinicians and/or other clinical staff of different specialities for gathering relevant information/documentation for onward submission.
  • Liaises with Insurance Companies/TPAs for submitting, resubmitting and replying queries raised by Insurance Companies/TPAs efficiently.
  • Shows knowledge of medical terminologies and good command on pronouncing medical words.
  • Demonstrates strong attention to details and ability to multitask within the fast- paced, high-pressure work environment.
  • Able to manage filing and tracking approval/denials/queries and inform concerned clinicians and patients about the requested service(s) status.
  • Prepares cost estimation accurately as per the current agreed terms.
  • Responsible for maintaining an active database of the instructions/communication about Insurance Companies/TPAs from RCM Office.
  • Practices professional telephone etiquette and customer service while making claim inquires and quickly resolving any patient complaints and concerns.
  • Provides aid to Front Desk Staff regarding Insurance Protocols and Coverage.
  • Maintains strict confidentiality related to medical records and other data.

Responsibilities

  • Coordinates with clinicians and/or other clinical staff of different specialities for gathering relevant information/documentation for onward submission.
  • Liaises with Insurance Companies/TPAs for submitting, resubmitting and replying queries raised by Insurance Companies/TPAs efficiently.
  • Shows knowledge of medical terminologies and good command on pronouncing medical words.
  • Demonstrates strong attention to details and ability to multitask within the fast- paced, high-pressure work environment.
  • Able to manage filing and tracking approval/denials/queries and inform concerned clinicians and patients about the requested service(s) status.
  • Prepares cost estimation accurately as per the current agreed terms.
  • Responsible for maintaining an active database of the instructions/communication about Insurance Companies/TPAs from RCM Office.
  • Practices professional telephone etiquette and customer service while making claim inquires and quickly resolving any patient complaints and concerns.
  • Provides aid to Front Desk Staff regarding Insurance Protocols and Coverage.
  • Maintains strict confidentiality related to medical records and other data.

Qualifications

Bachelor’s degree from an accredited college / university. Coding and claims processing skills will be preferred.

Certification from AAPC / AHIMA is a must.

Job Info

  • Job Identification 6354
  • Job Category Administration
  • Posting Date 03/04/2025, 08:42 AM
  • Apply Before 03/05/2025, 08:42 AM
  • Job Schedule Full time
  • Locations NMC Specialty Hospital, Dubai, AE

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