Qureos Mentor

Fatorah Insurance Claims Settlement L.L.C

Job Post: Associate - Claims AdministrationLocation: United Arab EmiratesAbout the Role:Are you a detail-oriented professional with a passion for healthcare operations? We are seeking a dedicated Associate to join our dynamic Claims Management team. In this vital role, you will be at the heart of our Revenue Cycle Management (RCM) process, ensuring the accurate and timely submission of insurance claims for outpatient, emergency room, and inpatient services. This is a fantastic opportunity to build a career in healthcare administration and make a direct impact on our organization's efficiency and success.Key Responsibilities:<ul><li>Prepare and submit accurate insurance claims for OP, ER, and IP services in compliance with payer requirements.</li><li>Monitor claims trends to identify areas for improvement and help reduce denials.</li><li>Follow up on pending claims to ensure timely reimbursement.</li><li>Collaborate with the billing team and healthcare providers to verify coding and obtain necessary documentation.</li><li>Review and help resolve claim denials and rejections promptly.</li><li>Maintain precise records of claims, payments, and outstanding receivables.</li><li>Assist in training junior staff and contribute to the development of process guides.</li><li>Prepare performance reports for management review.</li></ul>Who We Are Looking For:Qualifications &amp; Experience:<ul><li>Bachelor's degree in Healthcare Administration, Business, Finance, or a related field.</li><li>1-2 years of experience in claims management or a related RCM role.</li><li>Strong knowledge of OP, ER, and IP billing processes.</li><li>Proficient in Microsoft Office (Word, Excel, PowerPoint).</li></ul>Preferred Skills:<ul><li>Excellent verbal and written communication skills.</li><li>Previous customer service experience.</li><li>Strong organizational and analytical skills.</li></ul>Job Types: Full-time, PermanentPay: AED1,000.00 - AED2,000.00 per month

Claims Auditor

About Accumed: Accumed is a premier Revenue Cycle Management (RCM) company based in Qatar, providing specialized solutions that optimize financial performance for our clients in the healthcare sector. We leverage cutting-edge technology and deep industry expertise to drive efficiency and transformation. As we continue to grow and innovate, we are seeking a strategic leader to helm our key initiatives.Position: Director of Projects and Change Management Job Code: 064 Location: Doha, Qatar Reporting to: Chief Executive OfficerJob Summary: The Director of Projects and Change Management will be responsible for leading the planning, execution, and successful delivery of our strategic projects and business transformation programs. This pivotal role is essential to achieving our business objectives through robust project governance, risk management, and structured change processes. The ideal candidate will be a strategic leader who can foster cross-functional collaboration, optimize resources, and implement best practices to significantly enhance our operational efficiency and market growth within the RCM and healthcare domain.Key Responsibilities:<ul><li>Strategic Leadership: Develop and implement project and change management frameworks aligned with Accumed's strategic goals in the RCM sector. Establish strong governance structures and foster a culture of agility and continuous improvement.</li><li>Portfolio Management: Oversee the project portfolio, ensuring prioritization based on business impact for our RCM services. Manage project timelines, budgets, and resources to deliver on quality and strategic objectives.</li><li>Change Management: Lead change management strategies for the implementation of new RCM technologies, processes, and workflows. Ensure seamless adoption and prepare employees and stakeholders for transitions.</li><li>Stakeholder Engagement: Act as the primary liaison between executive leadership, business units, and healthcare clients/partners. Ensure clear, consistent communication and facilitate collaboration for flawless execution.</li><li>Risk &amp; Compliance: Proactively identify project risks, particularly those related to healthcare data and financial regulations, and develop effective mitigation strategies. Ensure all projects comply with internal policies and external regulatory requirements (e.g., data privacy laws).</li><li>Performance &amp; Innovation: Track project performance using KPIs and data-driven insights. Drive innovation in RCM processes by leveraging emerging technologies and industry best practices.</li></ul>Qualifications &amp; Experience:<ul><li>Bachelor's degree in Business Administration, Project Management, Health Administration, or a related field. A Master's degree (e.g., MBA, MHA) is highly preferred.</li><li>A minimum of 10 years of progressive experience in project and change management, with a proven track record of leading large-scale transformation initiatives.</li><li>Extensive experience in the Revenue Cycle Management (RCM) and healthcare sectors is required.</li><li>Must have experience working in or with organizations in Qatar or the GCC region, with an understanding of the local healthcare landscape.</li></ul>Preferred Certifications:<ul><li>Project Management Professional (PMP) or PRINCE2 Practitioner.</li><li>Certified Change Management Professional (CCMP) or PROSCI.</li><li>Lean Six Sigma (Black Belt) or Agile Certification (e.g., SAFe, CSM).</li></ul>Job Types: Full-time, PermanentPay: QAR25,000.00 - QAR30,000.00 per month

Director of Projects and Change Management

Join Fatorah Insurance Claims Settlement L.L.C and explore 2   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Fatorah Insurance Claims Settlement L.L.C

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Claims Auditor

Director of Projects and Change Management