Pricing Analyst
2 days ago
By upholding our values of respect, excellence, collaboration and integrity
Al-Futtaim Group continues to enrich the lives and aspirations of our customers each and every day.
Job Purpose:
Key Responsibilities:
- Responsible for the accurate update of agreed prices & discounts in the billing system. update business rules and set the monitoring toll to -control corporate data billing. _Contracting and pricing activities_
- To act as a liaison between RCM and IT to update the agreed price list with agreed discount
- Responsible for updating clinics and DSU billing tariff (price updating, plan creation, bill code creation, package creation, cost estimates.
- Oversee and monitor correct billing and auditing of day surgery and outpatient claims.
- Responsible to monitor and prepare clinics/day case monthly revenue report, unbilled report, credit settlement, advance and consumption report and reconcile it for financial accounting.
- Provides support and coordinates with various departments to maintain smooth operational workflow.
- Communicates with internal and external stakeholders for their billing queries and issues and resolve it for accurate processes of billing transactions
- Coordinates and provides regular training to staff with respect to various Billing process, Approval Protocols & Procedures.
- Provides appropriate guidance to employee by researching, developing, updating billing policy, procedures, method as per guidelines.
- Provide all the needful support as advised by the line manager on the business need.
- Gather relevant details and information to describe and properly escalate issues to Managers and higher officials.
- Proposing new ideas which assure continuous improvement in the billing processes,
- Monitory of surgery and higher value claims accurate billing.
- Reconcile facility Unbilled order report (open bills report).
- Ability to handle conflicts/Problems and come out with proposal plan to resolve the conflict after sufficient analysis.
- Actively involved in software implementation process & also suggest in modification & new improvising change for efficient billing cycle.
- Update special packages as per recommended tariff..
- Reconciliation of hospital packages (day surgery, Health check-up, and Antenatal packages).
- Review hospital revenue report on regular basis and investigate suspicious fraudulent activities and takes active measures
- Setting up the system for the new facility, new inclusion of the services etc..
- Support Team in handling complex cases, resolve customer complaints also communicate and discuss with higher management for any operational issue or improvement in work process
**Minimum Qualifications and Knowledge**:
- B.coM/Finance Graduate from reputed University or any relevant qualification
- 1-2 years’ experience in a similar role.
- Knowledge and experience in RCM process, ICD-10 codes
**About Al-Futtaim Healthcare**
**We Hear Your Ambition.**
For over 90 years, the Al-Futtaim Group has been bringing the world’s leading brands of lifestyle watches, cars, home furnishings and fashion to the UAE. The Group has now introduced a whole new way of holistic healthcare through HealthHub Clinics by Al-Futtaim, its multi-speciality chain of more than 20 clinics in Dubai with over 25 specialties offering the right combination of advanced diagnostics, proven medical expertise and specialised services.
What gives our clinics an edge is that as a part of the Al-Futtaim Group, you can expect world-class quality standards, with access to the best medical services and facilities within a healing environment. It’s a new way of healthcare that’s designed to meet a patient’s needs with a complete range of smart healthcare solutions. As testimony to this, only recently, we’ve earned a rare milestone of being the only primary healthcare network in the UAE to receive the Gold Seal by a reputed international body: Accreditation Canada.
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