Billing and Claims Representative
2 days ago
**Job Title**:
- BILLING AND CLAIMS REPRESENTATIVE.
**Job Family**:
**Function**:
- CFO
**Job Code**:
- 30008796
**Reports to Job**:
- Business Unit Lead
**Job Description Summary**:
- The Billing and Claims Representative is responsible for managing daily patient accounts and overseeing the credit and collections processes to ensure timely receipt of payments. This role involves but not limited to: handling billing inquiries, resolving disputes, managing overdue accounts, and working closely with patients and insurance providers. The advisor plays a key role in maintaining positive patient relationships while optimizing cash flow and adhering to healthcare regulations
**Strategic Roles & Responsibilities %**:
- 00
**Strategic Roles & Responsibilities**:
**Operational Roles & Responsibilities %**:
- 100
**Operational Roles & Responsibilities**:
- process claims based on the services charged by the clinical team and process claim supporting documentation
- update regularly the billing systems with the latest claim information corrections and adjustments to ensure data accuracy and consistency
- Generate invoices and update billing status including Dental and Medical billing
**Minimum Education Required**:
- Associate's Degree in Accounting, Finance or Relevant field, or Bachelor's Degree with up to 2 years' experience in billing and claims management
**Professional Certifications Required**:
- (Certification in revenue cycle management or case management is preferred)
**Years of Experience**:
- Minimum 3 years' experience relevant field
**Languages**:
- English:Advanced ; Arabic:Basic
**Functional Competencies**:
- Due Diligence
- Audit Reporting
- Data Collection
**Core Competencies**:
- Excellence
- Integrity
- Accountability
- Cybersecurity
- Person-Centered Care
**Acknowledgement**:
- Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
**Addendum Title**:
- No
**Supplemental Work/Experience/Education Information**:
- N/A
**Addendum Description**:
- N/A
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