Details

MME Ref Number 192

Job Title RCM Coordinator

Business Unit Mediclinic Corporate Office - Dubai

Department Administration

Job Type Permanent

Location - City Dubai

Location - Country United Arab Emirates

Recruiter Omar Al Faki

Job Description Lead the RCM team and assist in the screening of invoices for accuracy of discounts/coding/eligibility/non-covered services/compliance to regulatory and insurance rules/accurate approvals are attached (where applicable. Bills are sorted by insurance company, screened and missing information completed as per set standards in coordination with billing cashiers, doctors, nurses and ensuring that patient information confidentiality is maintained. Cashiers/Doctors intimated on non-compliance.

Claims dispatched to insurance companies within the stipulated period set by the management.

Dispatch, collection and disallowance reports are prepared and analysed. Ensure that system is updated with payments and dispatched bills.

Responsible for ensuring that collection targets are met and that payments are received and processed in accordance to the Hospital's policies and procedures.

Manages the processing of journal entries for write-offs and write-backs in accordance to the MCME policies and procedures.Age analysis report is utilized to identify outstanding balances. Ensures that statements of accounts and reminders are sent to clients as per the set guidelines

Ensures that rejected amounts are allocated as per standard procedure, Assist in resubmitting disallowed bills within stipulated period to different insurance companies. Prepares the final reconciliation statement within the stipulated time frame in coordination with the RCM Manager.

Identifies employees training needs and arranges for training to occur as and when needed and ensures that set individual targets are met as per the agreed period and assists the RCM Manager during the performance management process

Plans and efficiently manages the employees' overtime and ensures that prior and proper authorization is received.

Requirements Previous work experience in the Healthcare Industry or in a similar environment

Ability to lead and mentor junior employees

Computer literacy at intermediate level and a good understanding of MS Office

Previous experience working in a similar team lead role

Strong background in liaising with local insurance companies and other TPA's

Ability to analyse statistical data

Ability to perform tasks completely and accurately within set time frames

Ability to work independently within set guidelines

Good leadership skills

Experience in providing good customer service

Good attention to detail

Experience working within a multicultural team

CPT and ICD10 or ICD9 coding knowledge and hands on experience minimum one year

Key Outputs - Decision Making

- Micro Planning

- Macro Planning

- Accountability

- Communication

Other Information