CLAIMS OFFICERFull Time

Ensures that claims (bills) for the companies are properly prepared, thoroughly checked and presented in a timely manner.

Receives all OPD and inpatient invoices daily.
Sorts the invoices in the primary classification of the companies, with sub-sorting to the file numbers within the company categories.
Ensures that referral letters, insurance claim forms, all result of investigations, details of inpatient and discharge summary are in proper order, Insurance ID cards are updated.
At the end of the month, or as required for any period, checks the invoices against the computer printout and prepares the claims.
Ensures that the claims are recorded, copies are filed correctly, and arranges for the originals to be sent to the respective companies.
Receives any returns or rejected claims, performs a check analysis and reports on them to the Supervisor for appropriate action.
Fully aware and actively implement the departmental policies and procedures, local and international standards or requirements related to the department.
Actively involves in indicator development, data collection for the department and to measure the performance of the function, process, and outcome. Whenever required, conducts analysis and interpretation of data/information collected.
Participate 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 competence, as directed by the Revenue Cycle Director.

Minimum 2 years post-qualification experience
Bachelor Degree in Accountancy / Commerce Management, or any related course.

Communication

Ability To Operate Computers And Various Software Programs

Computer Literate

Customer Service Skills

Adaptability

Possessing A Positive

Dependability And Responsibility

Good Communication Skills In English And Arabic Languages

Honesty And Integrity

Knowledge Of Rules And Regulation Rulings Billing An Reimbursement

Strong Work Ethic

Motivated To Grow And Learn

Strong Self-Confidence

Interpersonal/Human Relations Skills.

Self-Motivated

EN - Professional Working Proficiency