Biling Auditor

Almoosa Specialist Hospital; Eastern Province; On-site; SAR 30,000 - 60,000; Full time

Job summary

An established industry player is seeking a detail-oriented billing coordinator to enhance patient care through effective communication and billing accuracy. This role involves overseeing inpatient billing processes, ensuring compliance with hospital regulations, and fostering collaboration between multidisciplinary teams. With a focus on quality improvement and performance enhancement, you will play a crucial role in maintaining high standards of patient care while managing the intricacies of billing and claims. If you have a strong background in nursing or medical coding and are passionate about delivering exceptional healthcare, this opportunity is perfect for you.

Qualifications

• Minimum Diploma in Nursing or medical background; additional qualifications are advantageous.
• Experience in accounting or as a Medical Coder (CPC).

Responsibilities

• Ensure accurate inpatient billing and auditing for timely service.
• Act as liaison between finance and ADT teams for effective billing.

Skills

Effective Communication

Billing Accuracy

Quality Improvement

Patient Care Coordination

Data Confidentiality

Education

Diploma in Nursing (GNM)

Medical Background

Tools

Computer Literacy

Job description

Implement options to meet individual health needs through effective communication and available resources, ensuring the provision of appropriate healthcare at the right time within a tight setting, along with accurate billing.

1. Utilize available coding resources for billing purposes upon service utilization to promote cost-effective patient care.
2. Monitor and follow up on inpatient billing and auditing to ensure accuracy in a timely manner.
3. Oversee inpatient admission and discharge bills daily, analyze available resources to ensure correct billing for charged services, and expedite billing turnaround time (TAT).
4. Promote, participate in, and facilitate performance improvement activities such as Quality Improvement (QI) and Performance Improvement (PI), establishing measurement indicators.
5. Address issues related to inpatient billing in coordination with the front desk to identify causes of delays affecting discharge processes and customer invoices.
6. Establish closed communication channels with the approval center and Admission, Discharge, and Transfer (ADT) office for effective billing and claim settlement.
7. Act as the principal liaison between the finance department and the ADT team.
8. Maintain comprehensive data on ASH rules, policies, procedures, and insurance and credit company policies and regulations.
9. Evaluate and establish plans for the working relationship between the multidisciplinary team at ASH and the Revenue Cycle Management (RCM) team to ensure quality patient care within contractual and hospital regulations.
10. Ensure the confidentiality of all patient records and derived data.
11. Provide personalized, coordinated care and support for staff and families.
12. Treat all individuals with dignity, compassion, and respect.

Qualifications:

• Minimum Diploma in Nursing (GNM) or a medical background; additional qualifications are advantageous.
• Experience in accounting or as a Medical Coder (CPC).

Professional Experience:

• Minimum of 4 years of relevant experience.
• Excellent oral and written communication skills.

Specialized Skills:

• Proficiency in computer skills and literacy.
• Strong command of oral and written English language.