عن الوظيفة
Maintain daily reconciliation processes and all actions needed at the hospital and client levelReconciliation meetings with clients to discuss and finalize account rejections Adhering to resubmission documentation during the usual reconciliation processPreparing resubmission reports to ensure accurate rejection recovery.
Preparing for regular reconciliation committee meetings to enhance the hospital's reconciliation progress Implementing cross audit with the claim audit team to ensure accurate rejection analysis.
Works to prepare processes and dashboards to ensure quality and accuracy.Undergoing action plans to mitigate rejection reasons.
Contract and discount setup review Reconciliation weekly reports Stays up to date on medical updates and implements changes regarding claims and billing requirements according to customer needs to enhance digitalization internally and on the customer side.Perform other duties related to RCM as assigned
Education:College of medicine graduateExperience and Skills:3 years of working experience in claims operations/healthcareSignificant knowledge of claims management, reconciliation and rejections management and its financial implications.Ability to establish a high-performance management cultureExcellent interpersonal, communication and influencing skills are required with emphasis on achieving results and successful outcomes.
Education:College of medicine graduateExperience and Skills:3 years of working experience in claims operations/healthcareSignificant knowledge of claims management, reconciliation and rejections management and its financial implications.Ability to establish a high-performance management cultureExcellent interpersonal, communication and influencing skills are required with emphasis on achieving results and successful outcomes.
