2 Medical Billing jobs in Qatar
Revenue Cycle Manager
Posted today
Job Viewed
Job Description
Position Summary
The Revenue Cycle Manager ensures the efficient and smooth processing of patient billing, pre-
authorization, proper coding, insurance claims submission and resubmission and recovery through effective liaising with insurance companies while maximizing patient satisfaction by leading the insurance operations with the objective of streamlining the process.
Responsible for timely insurance claims submission and pre-authorization processing, reducing the insurance rejections, managing insurance contracts and benefits, overseeing the insurance operations and designing, implementing and training the Day Surgery Doctors and other relevant stakeholders on insurance policies and protocols.
Responsibilities
• Oversees function of revenue cycle management.
• Manages and negotiates contracts with insurance companies to obtain recognition as a service provider.
• Liaises with insurance companies regarding eligibility, payments, reconciliations, service
additions to maximize the profitability of the business.
• Reviews insurance claims to ensure accuracy as per agreement, prior to dispatch to respective
insurance companies within stipulated timeline.
• Ensures proper coding - CPT, ICD, HCPCS, DRG codes as applicable
• Ensure internal audit and review of Outpatient and Inpatient files, billing and claims
• Keeping a check on pending receivables and ensure payments are received from payors within
the contractually agreed timeline.
• Reconcile all collections received and outstanding receivables against all electronic claims
submitted and re-submitted.
• Proactively reports critical issues to Management and submits monthly aging and other reports
to Management as required
• Maintaining acceptable Turnaround time for obtaining pre-approval of services.
• Designs, updates and implements policies, procedures and protocols to ensure efficiency and
accuracy in insurance operations.
• Monitors insurance - rejections and prepares & submits periodic reports to the Head of Finance for review.
• Meeting Doctors monthly to explain their rejections and providing appropriate guidance to
prevent similar rejections in future claims
• Ensure up to date management of central price master which has a clear comparison of self-
pay, ministry approved and various empaneled payor prices
• Ensures that the insurance contracts are up to date on the system and there is a proper
summary file which compares the key contractual parameters among the empaneled insurance
companies.
Experience and Skills Required
Experience required:
• Minimum - 8 to 10 years of experience in a hospital setting in a similar role (Payer-
Experience will be added value).
Preferred Experience:
• In Hospitals and/or Day care surgical centers
Skills required:
• Knowledge on insurance approvals, claims and billing process.
• Knowledge on Qatar laws applicable to insurance legislations.
• Knowledge on HIS & ERP. -
• Experience in revenue cycle management.
Qualification's Essential:
• Graduate in Medicine /Life Science or other related medical education, and/or
• Certified Medical Coder (HIMAA/ AHIMA).
Revenue Cycle Manager
Posted today
Job Viewed
Job Description
Role Summary:
The Revenue Cycle Manager ensures the efficient and smooth processing of patient billing, pre-authorization, insurance claims and recovery through effective liaising with insurance companies while maximizing patient satisfaction by leading the insurance operations with the objective of streamlining the process.
Responsible for timely insurance claims and pre-authorization processing, overseeing the insurance operations and designing, implementing and training staff on insurance protocols.
Qualifications:
- Bachelor's degree in Finance or related discipline and master's degree in RCM/MBA/MHA is desirable.
- Minimum for 3 to 5 years of Qatar experience in a Hospital setting in a similar role (Payer/Provider Experience will be added value).
- Knowledge on insurance claims and billing process.
- Knowledge on Qatar laws applicable to insurance legislations.
- Experience in revenue cycle management.
Job Types: Full-time, Permanent
Ability to commute/relocate:
- Doha: Reliably commute or willing to relocate with an employer-provided relocation package (Required)
Application Question(s):
- What is your salary expectation?
Education:
- Bachelor's (Required)
Experience:
- RCM Manager: 8 years (Required)
Location:
- Doha (Preferred)
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