Medical Biller
4 weeks ago
REQUIREMENTS:
- 2 to 4 years’ recent experience in Revenue Cycle Management - Eligibility and Authorization, Claim Submission & Resubmission.
- Both inpatient and outpatient experience preferred. Expert knowledge of medical conditions, treatments, procedures and standard codes
- Degree in any related field preferably life science background.
- Understanding of the billing and payer adjudication guidelines related to DOH
- Indepth understanding of ICD, CPT, HCPCs and DRG processes
Responsible for:
- Submitting & resubmitting medical claims to insurance companies and payers on behalf of the hospital.
- Adjudicate and process the account / claim with quality in a professional manner according to policy terms and conditions.
- Interpret and process claims with correct usage of standard codes (e.g. ICD, DRG, CPT, and HCPCS) applicable billing structure, policy terms, and benefits.
- Reviewing patient bills for accuracy and completeness, and obtaining any missing information
- Evaluates and ensures that all claims denied or underpaid inappropriately by Payers are identified, appealed and reversed.
Ability to commute/relocate:
- Abu Dhabi: Reliably commute or planning to relocate before starting work (required)
Application Question(s):
- How many years experience do you have as Medical Biller?
- Do you have any experience in a major hospital in Abu Dhabi or in any SEHA facility?
- How much is your current salary?
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