Medical & Revenue Cycle Management (RCM) Specialist
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Key skills for this role
About the Role
BONEX KLINIK seeks a detail-oriented Medical & RCM Specialist to manage medical billing, insurance claims, and revenue cycle operations. Responsibilities include claim submission, denial management, and AR follow-up.
Key Skills for This Role
Responsibilities
- Verify patient insurance eligibility and benefits
- Prepare, submit, and track medical insurance claims
- Process charge entry and payment posting accurately
- Follow up on unpaid, rejected, and denied claims
- Manage accounts receivable (AR) and ensure timely collections
- Coordinate with insurance companies regarding claim status and appeals
- Review medical documentation for billing accuracy
- Assist with coding compliance and billing regulations
- Generate revenue cycle reports and identify opportunities for process improvement
- Maintain patient confidentiality and comply with applicable healthcare regulations
Requirements
- Bachelor's degree in Healthcare Administration, Medical Sciences, Business Administration, or a related field
- Minimum of 2 years of experience in medical billing, coding, or Revenue Cycle Management
- Knowledge of ICD 10, CPT, and HCPCS coding is an advantage
- Familiarity with insurance payers, claim submission processes, and denial management
- Proficiency in Microsoft Office and healthcare billing/EMR systems
- Excellent communication, analytical, and problem solving skills
Full Job Posting
Job Overview
- We are seeking a detail oriented and experienced Medical & Revenue Cycle Management (RCM) Specialist to join our healthcare team.
Key Responsibilities
- Verify patient insurance eligibility and benefits.
- Prepare, submit, and track medical insurance claims.
- Process charge entry and payment posting accurately.
- Follow up on unpaid, rejected, and denied claims.
- Manage accounts receivable (AR) and ensure timely collections.
- Coordinate with insurance companies regarding claim status and appeals.
- Review medical documentation for billing accuracy.
- Assist with coding compliance and billing regulations.
- Generate revenue cycle reports and identify opportunities for process improvement.
- Maintain patient confidentiality and comply with applicable healthcare regulations.
Qualifications
- Bachelor's degree in Healthcare Administration, Medical Sciences, Business Administration, or a related field.
- Minimum of 2 years of experience in medical billing, coding, or Revenue Cycle Management.
- Knowledge of ICD 10, CPT, and HCPCS coding is an advantage.
- Familiarity with insurance payers, claim submission processes, and denial management.
- Proficiency in Microsoft Office and healthcare billing/EMR systems.
- Excellent communication, analytical, and problem solving skills.
- Strong attention to detail and ability to manage multiple priorities.
Preferred Qualifications
- CPC, CCS, or other relevant coding certification is preferred.
- Experience with hospital or clinic revenue cycle operations.
- Knowledge of UAE healthcare insurance processes is an advantage.
Work Location
- In person
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