Claim Agent with UAE Experience

3 weeks ago


Dubai, United Arab Emirates Pharmak Pharmacy LLC Full time

Purpose of the Role

The Claims Agent is responsible for handling all activities within the central billing office including but not limited to: insurance verification, submission of claims, collection of customer and insurance receivables, operations communications, and any activities related to patient access and credentialing.

Operations
- Handling communications with insurance providers, collections, contract adherence, and billing.
- Maintain knowledge of insurance contracts to provide support to billing staff on unpaid claims.
- Ensure claim submission, splitting, and complete billing is carried out.
- Ensure denials and re-submission of rejected claims are carried out in a timely manner as per payer agreement.
- Ensure unpaid claims are reviewed on regular basis and appropriate action are taken.
- Ensure timely posting of all manual and electronic payments and cash reconciliation, and collection settlement.
- Assist in developing policies, guidelines, and implementing procedures for revenue cycle management.
- Work directly with the payers to identify and escalate problems and issues on timely basis as required.
- Analysis and reporting to customers on their account status on collection and insurance reconciliation sign-off with all insurance companies.
- Responsible for the identification and analysis of billing issues.
- Efficiently handling patient complaints in respect of billing and collections.
- Internal reports creation at the request of Finance department.
- Perform any other additional duties as reasonably requested by the CEO.

Essentials Qualifications
- Minimum of 3-5 years Health Insurance claims work experience desirable.
- Bachelor’s degree in Finance, Business Administration, Healthcare Administration, or related field.
- Proven experience in healthcare billing.
- Sound knowledge of UAE health insurance providers.
- Strong interpersonal and organizational skills.
- Excellent customer service skills.

Functional and Behavioural Skills
- Worked in a diverse, multi-cultured environment.
- Must be a change agent and capable of implementing new procedures in regard to change management initiatives launched
- Must possess good judgement and decision
- making skills, strong ethics and a high level of personal and professional integrity
- Must be willing to seek out new methods and principles
- Excellent all-round communication skills.
- Flexible, always demonstrating a positive attitude with a will to win and succeed.
- Proven ability to prioritize multiple & often competing tasks and demands.
- Attention to detail, organized, disciplined with process and policy focus.

Pay: AED3,000.00 - AED5,000.00 per month

COVID-19 considerations:
Required to wear a mask

Ability to commute/relocate:

- Dubai: Reliably commute or planning to relocate before starting work (required)

Application Deadline: 31/07/2023
Expected Start Date: 15/08/2023


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