Claims Officer

مستشفى السلامة; Jeddah; On-site; SAR 150,000 - 200,000; Full time

Job summary

A healthcare facility in Jeddah is seeking a Claims Officer to ensure the timely and accurate processing of claims and invoices. The role involves reviewing claims for accuracy, submitting bills to insurance providers, and coordinating with internal teams for documentation. Candidates should have at least a diploma, ideally a Bachelor's degree or related healthcare experience, and proficiency in English. This position demands high attention to detail and requires knowledge of healthcare billing processes.

Qualifications

• Minimum 1 year in accounts or RCM billing, healthcare facility experience preferred.
• Medical coding certification is a plus.

Responsibilities

• Review and process claims and invoices for accuracy and compliance.
• Submit bills to insurance providers and private payers.
• Update systems with payments and outstanding balances.

Skills

Intermediate knowledge of healthcare billing processes

Proficiency in English (verbal and written)

High attention to detail

Education

Diploma or equivalent

Bachelor’s Degree or healthcare-related diploma

Job description

Al Salama Hospital is seeking a detail-oriented and dependable Claims Officer to join our Revenue Cycle Management team. This role is essential in ensuring the timely and accurate processing of claims and invoices, contributing to the financial efficiency of the hospital while maintaining high standards of patient confidentiality and compliance.

Key Responsibilities

• Review and process claims and invoices for accuracy, coding, and regulatory compliance.
• Submit bills to insurance providers and private payers within set deadlines.
• Update systems with payments, dispatched bills, and analyze outstanding balances.
• Coordinate with internal teams to ensure accurate and complete documentation.
• Prepare reconciliation statements and handle rejected claims appropriately.

Qualifications & Experience

• Minimum: Diploma or equivalent.
• Preferred: Bachelor’s Degree or healthcare-related diploma.
• Experience: Minimum of 1 year in accounts or RCM billing (healthcare facility experience preferred).
• Certification: Medical coding certification is a plus.

Required Skills

• Intermediate knowledge of healthcare billing processes and medical terminology.
• Proficiency in English (verbal and written).
• Ability to work in a multi-cultural team.
• High attention to detail and ability to manage deadlines.

Core Competencies

• Following procedures and maintaining confidentiality
• Resilience under pressure
• Operational excellence and accountability