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2-4 Years
12 days ago
33 Viewed
2 Applied

Job Description

Job Summary

Perform a variety of tasks under KSA Medical Coordination Director including directing, following up, preparing statements for the companies using hospital system, credit receipts revision, and instructing the branches Billing Team for Claims requirements by Insurance companies.

Responsibilities

  • Follow up variety of duties with company accounting and billing for KSA, as directed such as reviewing the Journal companies and indexing it.
  • Follow up the claims (Electronic data, GSS and Hard copy), for insurance companies such as (NCCI, Mednet, BUPA..etc.) and review statements on monthly basis.
  • Follow up with Branches Medical Coordination teams to avoid delayed submission, such as (Delayed receipts and Medical reports) and follow returned receipts for correction.
  • Review all companies contracts to avoid :

(1) any refused services according to the contract or (2) inserting service ; and sharinge notes & remarks with Branches billing teams

  • Share in limitation of returned company claims, to avoid and minimize deduction from our account.
  • Follow up the preparation of Hardcopy claims and Electronic data sheet.
  • Follow up matching numbers on Electronic submission and DMS system, before submission
  • Review the not submitted claims reasons, for online submission and notify branches Medical Coordination staff to do the necessary correction.
  • Collect database for rejection reasons and review the financial rejections. Analyze all rejection cases and participate in replying to them.

Qualifications

  • Bachelor's Degree in Accounting or equivalent professional qualifications
  • Minimum two years of experience in accounting work.
  • Working knowledge of accounts payable, receivable, and general ledger.
  • Current knowledge of accounting procedures and system.
  • Working knowledge of computerized accounting systems.
  • Working knowledge of spreadsheet software (word, Excel)
  • Good written & spoken communication skills (Arabic & English)
  • Saudi Nationality

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Last Updated: 11-06-2024 10:36:52 AM
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