MEDICLINIC MIDDLE EAST
PO Box 123812, Dubai, UAE
Building 53, 3rd floor
Dubai Healthcare City, Oud Metha, United Arab Emirates
As per Industry Standards
Al Ain, United Arab Emirates
Feb 28, 2018
Job Posting Date:
Jan 05, 2018
RCM Coordinator job vacancy at Mediclinic in Al Ain.
Business Unit: Mediclinic Al Ain
Job Type: Permanent
Location - City: Al Ain
Location - Country: United Arab Emirates
To lead a team in the RCM (RCM Administrators) and is responsible for ensuring the best quality in the claims screening and the timely collection of funds from insurance companies and corporate partners as per the ageing analysis. Play a major role in resubmission and reconciliation of claims with the funders
Bachelor’s Degree or a Diploma from an accredited University
Licensed professional coder with CPC or AAPC certification is a plus
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
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 dis-allowance 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.
Mediclinic Middle East is part of Mediclinic International, a private hospital group with three operating platforms in Southern Africa (South Africa and Namibia), Switzerland and the United Arab Emirates, and a 29.9% shareholding in Spire Healthcare, a UK-based healthcare group with 38 hospitals.
During February 2016, Mediclinic International combined with Al Noor Hospitals Group, with operations mainly in Abu Dhabi, to create an enlarged Mediclinic group now boasting 73 hospitals and 43 clinics. Mediclinic Middle East operates five hospitals and 38 clinics with more than 600 inpatient beds in the United Arab Emirates.
Mediclinic puts science at the heart of its care approach, focusing on providing the best possible facilities with international-standard technology, backed-up by sound medical expertise and the empathy of its nursing staff.