BILLING AND CLAIMS REPRESENTATIVE - Al-Hasa

Johns Hopkins Aramco Healthcare; Qatif; On-site; SAR 120,000 - 150,000; Full time

Job summary

A prominent healthcare provider in Eastern Province, Saudi Arabia, is seeking a Billing and Claims Representative. This role is crucial for managing patient accounts and ensuring timely payment processes. The ideal candidate should have at least 3 years of relevant experience, an Associate's or Bachelor's degree, and skills in auditing and data collection. Strong relationships with patients and adherence to healthcare regulations are key for success in this position.

Qualifications

• Up to 2 years' experience in billing and claims management.
• Minimum 3 years' experience in relevant field.

Responsibilities

• Manage daily patient accounts and credit/collections processes.
• Handle billing inquiries and resolve disputes.
• Generate invoices and update billing status.

Skills

Due Diligence

Audit Reporting

Data Collection

Excellence

Integrity

Accountability

Cybersecurity

Person‑Centered Care

Education

Associate's Degree in Accounting, Finance or Relevant field

Bachelor's Degree

Job description

Job Title

BILLING AND CLAIMS REPRESENTATIVE.

Function

CFO

Job Code

30008796

Reports to Job

Business Unit Lead

Job Description Summary

The Billing and Claims Representative is responsible for managing daily patient accounts and overseeing the credit and collections processes to ensure timely receipt of payments. This role involves but not limited to handling billing inquiries, resolving disputes, managing overdue accounts, and working closely with patients and insurance providers. The advisor plays a key role in maintaining positive patient relationships while optimizing cash flow and adhering to healthcare regulations.

Operational Roles & Responsibilities

• Process claims based on the services charged by the clinical team and process claim supporting documentation.
• Update regularly the billing systems with the latest claim information corrections and adjustments to ensure data accuracy and consistency.
• Generate invoices and update billing status including Dental and Medical billing.

Minimum Education Required

Associate's Degree in Accounting, Finance or Relevant field, or Bachelor's Degree with up to 2 years' experience in billing and claims management.

Professional Certifications Required

Certification in revenue cycle management or case management is preferred.

Years of Experience

Minimum 3 years' experience relevant field.

Languages

English: Advanced; Arabic: Basic

Functional Competencies

• Due Diligence
• Audit Reporting
• Data Collection

Core Competencies

• Excellence
• Integrity
• Accountability
• Cybersecurity
• Person‑Centered Care