Job Description

Associate-Billing & Collections

Job Title

Associate-Billing & Collections

Job Family

INSURANCE RELATIONS MANAGEMENT

Job Code

To be provided by Human Capital Department

External Job Title

Associate-Billing & Collections

Exempt Status

Exempt

Career Framework Level

To be provided by Human Capital Department

Job Family Summary:

Be the focal point of contact for internal as well as external stakeholders for seamless and accurate RCM management which will help the organization to achieve its goals and objectives to be the region's most efficient Revenue Cycle Management company

Role Summary:

To ensure optimal collections are achieved for Clients via strong Payer contacts. To ensure timely receipt of remittances for all Payer payments released for Clients.

Follow Collections with Insurance companies on behalf of clients and optimize the collections and to maintain data accuracy levels above 90% at all times.

To Analyze and report to Clients on their account status on claims; as and when required.

Primary Responsibilities:

• Preparation of schedule of collections from insurance payers for providers.

• Follow on collections effectively and consistently with the payers by monitoring the payment due dates and ensure optimum collections for clients

• Analysing the claims submitted and ensure to follow collections accordingly

• Monitoring the remittance on HAAD & DHA portals and ensuring timely allocation of paid claims

• Liaise with clients, whenever required, regarding remittance details and ensuring timely allocation of paid claims.

• Initiate collections escalation requirement to the Line Manager in time

• Fixing remittances & other issues relating to the claim submission.

• Preparation of statement of accounts and collections from clients time to time

• Preparing billing and collection reports periodically for Line Manager as per required

• Reconciling the payments received by providers and ensuring timely allocation of paid claims

• Consolidated reports as per providers requests.

• Notify and report to the Line Manger concerning any trends that are critical to the organizations/clients performance.

Job Requirements:

• Related experience of over 2 to 3 Years in provider / payer/ TPA in the UAE is essential
• Minimum qualification of a Bachelor Degree is required.
• Should have good EXCEL skills, having expertise in handling large data. Should have excellent Communication skills.