hireejobsgulf
Register for Job

Contract Management and Data Master Officer

1.00 to 10.00 Years   Dubai, United Arab Emirates   23 Feb, 2023
Al Futtaim Group
1 Jobs Openings
Job LocationDubai, United Arab Emirates
EducationNot Mentioned
SalaryNot Mentioned
IndustryAccounting
Functional AreaNot Mentioned

Job Description

Contract Management and Data Master Officer | Al Futtaim Health | HealthcareJOB PURPOSEThe purpose of this role is to apply and monitor the accuracy of billing cash and insurance tariff˙across AFG healthcare facilities.Allocation of insurance contract on the system with accurate implementation of contractual terms.˙Ensure closure of all open invoices by all Unit In-Charge and pharmacies. On regular intervals,Contracting and pricing with insurance companies.˙KEY ACCOUNTABILITIES:Description of the Accountability:

  • To act as a liaison between RCM and IT to update the agreed price list with agreed discount
  • Responsible for updating clinics and Day Surgery˙billing tariff (price updating, plan creation, bill code creation, package creation, cost estimates.
  • Oversee and monitor correct billing and auditing of day surgery and outpatient claims.
  • Responsible to monitor and prepare clinics/day case˙monthly revenue report, unbilled report, credit settlement, advance and consumption report and reconcile it for financial accounting.
  • Provides support and coordinates with various departments to maintain smooth operational workflow.
  • Support Team in handling complex cases, resolve customer complaints also communicate and discuss with higher management for any operational issue or improvement in work process.
  • Communicates with internal and external stakeholders for their billing queries and issues and resolve it for accurate processes of billing transactions
  • Coordinates and provides regular training to staff with respect to various Billing process, Approval Protocols & Procedures.
  • Provides appropriate guidance to employee by researching, developing, updating billing policy, procedures, method as per guidelines.
  • Provide all the needful support as advised by the line manager on the business need.
  • Gather relevant details and information to describe and properly escalate issues to Managers and higher officials.
  • Proposing new ideas which assure continuous improvement in the billing processes,
  • Monitory of surgery and higher value claims accurate billing .
  • Reconcile facility Unbilled order report (open bills report).
  • Ability to handle conflicts/Problems and come out with proposal plan to resolve the conflict after sufficient analysis.
  • Actively involved in software implementation process & also suggest in modification & new improvising change for efficient billing cycle.
  • Update special packages as per recommended tariff..
  • Reconciliation of hospital packages (day surgery, Health check-up, and Antenatal packages).
  • Review hospital revenue report on regular basis and investigate suspicious fraudulent activities and takes active measures
  • Setting up the system for the new facility, new inclusion of the services etc..
Contracting and Pricing: Contracting & Pricing Officer Role :
  • Coordinating with insurance companies for empanelment of new facilities.
  • Proposing and negotiating on tariff for the new service requests with insurance companies.
  • Addressing concerns related to insurance companies ( portal issues, price issues etc..) and coordinating with insurance companies to solve in a timely manner.
˙

Keyskills :

APPLY NOW

Related Jobs

© 2023 HireeJobsGulf All Rights Reserved