BILLING AND CLAIMS REPRESENTATIVE.
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