- Assists the Revenue Cycle management in medical administration of the business.
- Participates in the creation of contractual agreements with clients.
- Provides medical support to the approval section.
- Provides medical support to the claims processing center.
- Provides medical support to the billing section.
- Coordinates with the medical staff for the client’s contracts, requirements, and forms.
- Coordinates with Insurance Companies for rejection replies and responses to Insurance Company rejections.
- Responsible for reconciliation with Insurance Companies for final settlement.
- Fully aware and actively implements departmental policies and procedures, local and international standards or requirements related to the department.
- Actively involved in indicator development and data collection for the department to measure the performance of the function, process, and outcome. Whenever required, conducts analysis and interpretation of collected data/information.
- Participates in hospital Safety Management & Risk Management Programs. Actively reports incidents in the system and, whenever needed, participates in incident review and root cause analysis.
- Performs any other duties within the range of his/her professional knowledge and skills as directed by the Revenue Cycle Director.
Requirements:
- 3 years postgraduate experience in medical practice.
- 2 years practical experience in medical administration.
- Basic Medical Degree.
- Licensed by the Saudi Ministry of Health.
- Postgraduate Medical Degree.
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