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Rcm Officer

2 months ago

Dubai, United Arab Emirates Fakeeh University Hospital Full time

**About us**:
Fakeeh University Hospital delivers the best possible outcomes for its patients through smart technology and academic strengths. Built on an integrated healthcare model, the hospital brings you the legacy of over four decades of compassionate care - drawn from the renowned Fakeeh Care group based in Saudi Arabia.

Fakeeh University Hospital is made up of like-minded healthcare providers, working towards a common goal, which is, delivering quality healthcare to people all around the world. Our passionate staff members have years of experience within and outside the country.

Fakeeh University Hospital is a digital hospital, having fully integrated electronic medical records, supporting improvements to the quality and efficiency of healthcare services for patients and the community at large. Additionally, we operate an efficient emergency department

**Job Profile**: RCM Officer

**Duties & Responsibilities**:

- Coordinate with appropriate personnel to ensure that all the formalities as agreed with the insurance companies are followed to minimize objections from them and delays in clarifications to the insurance companies.
- Co-ordination with Registration, Admissions, Finance and Insurance Companies on direct billing arrangements on all insurance matters like authorizations, case management, audit and claim submissions
- Coordination with Physicians & other personnel to ensure that all the formalities as agreed with the insurance companies along with meeting patient care standards based on evidence-based practice.
- Meet with Physicians for cases/feedback from Insurance Companies.
- Review and analyse charges for all Inpatient & ICU/CICU (long stay patients) to meet E claims requirements. Evaluate claims based on CPT guidelines.
- Ensure IP Claims analysis is completed prior to their submission to insurance companies.
- Analyse rejection reasons & trends
- a minimum of 3 years’ experience of working in Revenue Cycle Management in UAE or
- Claims and Authorization Team in an Insurance Company

**Education**: Graduation in Medicine or Dentistry

**Experience**: a minimum of 3 years’ experience of working in Revenue Cycle Management in UAE or Claims and Authorization Team in an Insurance Company.

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