RCM Specialist
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Key skills for this role
About the Role
Waseel seeks an enthusiastic RCM Specialist to manage revenue cycle for healthcare providers, including billing, collections, and insurance approvals. Candidates should have experience in revenue cycle management, proficiency with approval platforms, and strong analytical skills.
Key Skills for This Role
Responsibilities
- Monitor compliance to ensure protocols align with standard CCHI policies
- Validate and enter patient information and insurance coverage into computer systems
- Send approvals and reports to insurance companies
- Work on the Naphies platform with a highly skilled professional team
- Handle Ministry of Health cases by submitting necessary documents and investigations
- Analyze data on UCAFs before submitting to insurance companies
- Provide medical guidance to claims processing team, assist with ICD coding, and review insurance claim forms
Requirements
- Bachelor's degree is required
- Previous experience in revenue cycle management and medical approvals is highly desirable
- Proficiency in using approval platforms is essential
- Strong analytical and problem solving skills
- Excellent communication and interpersonal skills
- Mid level positions require +2 years of experience
- Certified Professional (IFCE) preferred
- Certified Professional (RCM) preferred
Full Job Posting
Job Overview
- Waseel is seeking an enthusiastic and dedicated RCM Specialist to join our team in different regions around the Kingdom!
- As an RCM Specialist, you will be responsible for managing the revenue cycle of healthcare provider organizations, ensuring efficient billing and collections processes.
Key Responsibilities
- Monitored compliance to ensure protocols align with standard CCHI policies.
- Validated and entered patient information and insurance coverage into the appropriate computer systems.
- Sent approvals and reports to insurance companies.
- Worked on the Naphies platform with a highly skilled professional team.
- Handled Ministry of Health cases by submitting all necessary documents and investigations to support the approval requests made by the treating doctor.
- Analyzed data on UCAFs before submitting it to insurance companies.
- Provided medical guidance to the claims processing team, assisted with ICD coding, and reviewed insurance claim forms and supporting documents to ensure completeness and continuity in the claims process.
Requirements
- Previous experience in revenue cycle management and medical approvals is highly desirable.
- Proficiency in using approval platforms is essential.
- Strong analytical and problem solving skills with the ability to identify and resolve billing issues.
- Excellent communication and interpersonal skills, enabling effective collaboration with multidisciplinary teams.
Job Requirements
- Bachelor's degree is required
- Advance verbal and written communication skills
- Mid level positions require +2 years of experience
- Healthcare provider organizations (hospitals, clinics, medical practices)
- Certified Professional (IFCE)
- Certified Professional (RCM)
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