Read the Job Description carefully, then scroll down for "Details to Register for this Job"...
Job Requisition ID: 159937
Established in the 1930s as a trading business, Al-Futtaim Group today is one of the most diversified and progressive, privately held regional businesses headquartered in Dubai, United Arab Emirates. Structured into five operating divisions; automotive, financial services, real estate, retail and healthcare; employing more than 35,000 employees across more than 20 countries in the Middle East, Asia and Africa, Al-Futtaim Group partners with over 200 of the world's most admired and innovative brands. Al-Futtaim Group’s entrepreneurship and relentless customer focus enables the organization to continue to grow and expand; responding to the changing needs of our customers within the societies in which we operate.
By upholding our values of respect, excellence, collaboration and integrity; Al-Futtaim Group continues to enrich the lives and aspirations of our customers each and every day
About the role:
To update Insurance manager about unusual denial / issues from Insurance Companies for further discussion and resolution.
Ensure timely resubmissions of all eligible IP,OP and Pharmacy claims with proper medical and technical justification.
Internal Follow up for raised QMS to concerned branch
Communicating with the payers for any clarification regarding the rejected claims at 1st resubmission and 2nd resubmission-reconciliation stage.
Interacting with the physicians for the clinical justification on the rejected claims
Ensure and work closely with the team on complex cases that need experience and specialist knowledge or technical IT support.
Working closely with Insurance Approvals and Claims Submission Team to minimize the claims denials
Making sure that claim resubmissions are dealt with according to Insurance industry and DHA regulations.
Comply with re-submission KPI’s (Key Performance Indicator) , maintain a record of resubmission KPIs as and when required.
Analyze the root cause for the denial by the various payers and collect timely feedback from other team members, create a special rules in the system to prevent the reoccurrence of those denials
Educate billing/Approval team to enhance the process flow.
Ensures that targets are met with in turnaround time and while maintain quality and productivity.
Coordinate with CDI team to educate the physicians, and other paramedical team to ensure proper claims documentations.
Maintain accurate monthly data of claims resubmissions /reconciliations of each insurance company
Maintain a detailed statement of insurance denials segregated to technical denials and medical denials to facilitate the proper denial management plan and required training and documentation enhancement
Highlight payment discrepancies by various payers to LM knowledge.
Coordination with other business stakeholders to improve overall resubmission /recon process efficiency.
Analysis of financial data related to revenue cycle, to identify defaulting payors and work with the concern department on corrective strategies to mitigate the financial risk/s.
Required skills to be successful:
Job-Specific Skills:
Strong medical background to handle reconciliation efficiently.
Strong Negotiation skills
Strong soft skills
Behavioural Competencies:
Excellent presentation and analytical skills
Good decision-making skills
Strong operational thinking skills
Strong dedication skills
Ability to work under pressure to achieve target
What qualifies you for the role:
Minimum Qualifications and Knowledge:
Certified professional coding certificate from reputed institution
Certified medical /paramedical certificate
Minimum Experience:
Minimum 3+ years’ experience in a similar role.
About Al-Futtaim Healthcare
We Hear Your Ambition.
For over 90 years, the Al-Futtaim Group has been bringing the world’s leading brands of lifestyle watches, cars, home furnishings and fashion to the UAE. The Group has now introduced a whole new way of holistic healthcare through HealthHub Clinics by Al-Futtaim, its multi-speciality chain of more than 20 clinics in Dubai with over 25 specialties offering the right combination of advanced diagnostics, proven medical expertise and specialised services.
What gives our clinics an edge is that as a part of the Al-Futtaim Group, you can expect world-class quality standards, with access to the best medical services and facilities within a healing environment. It’s a new way of healthcare that’s designed to meet a patient’s needs with a complete range of smart healthcare solutions. As testimony to this, only recently, we’ve earned a rare milestone of being the only primary healthcare network in the UAE to receive the Gold Seal by a reputed international body: Accreditation Canada.
As trusted partners to health, we at HealthHub Clinics adopt evidence-based learning that enables us to listen to our patients more carefully. It helps us in treating the cause and not just the symptoms, while applying global best practices to ensure quality of care for every family member. Most of all, we adopt a patient-centric approach to healthcare that is reflected in the promise of our core belief: “We Hear You.”
DETAILS TO REGISTER FOR THIS JOB:
NOTE: ATS-compliant CV is MANDATORY!
https://www.afuturewithus.com/job/Resubmission-&-Reconciliation-Officer-Al-Futtaim-Health-Healthcare/1039001501/NOTE: ATS-compliant CV is MANDATORY!
Applied For Many Jobs, But Didn't Get Any Interview Calls? Apply For This Job Using a Branded AI-compliant ATS-Friendly CV from Dubai-Forever.Com.
What is an ATS CV?
Applicant Tracking System or "ATS", is the software that 'READS' your CV and stores this information in a database. Like this:
If the CV is not made as per the RULES of the ATS, the information will get messed up in the database. Like this:
And, you may never be found by the recruiter, in spite of your 'CV information' existing in the database...
...And, you'll keep wondering why you get rejected in spite of being a PERFECT MATCH for the Job.
Read more about the ATS CV:
https://www.dubai-forever.com/cv-writing-services.html#ATS-Compliant-CV
🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇰🇼 🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇰🇼 🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇰🇼 🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇰🇼 🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇦🇪 🇸🇦 🇶🇦 🇴🇲
What's the most IMPORTANT thing you should read about a CV Writing Service?
Client Satisfaction Reviews, right?
You'll get a fair idea whether to purchase that service or not.
Read the recommendations our customers have written on my LinkedIn profile.
Click the LinkedIn banner below and then scroll down to the Recommendations section.
Navigate here for more testimonials/feedback about our expertise and results:
www.dubai-forever.com/resume-writing-feedback.html
www.dubai-forever.com/cv-writing-reviews.html
Also, read reviews about "www.Dubai-Forever.Com" on TrustPilot.com, the world's must trusted review site...
🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇰🇼 🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇰🇼 🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇰🇼 🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇰🇼 🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇦🇪 🇸🇦 🇶🇦 🇴🇲
Want CV Samples & Templates for FREE?
Click on the CV's below to begin:
🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇰🇼 🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇰🇼 🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇰🇼 🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇰🇼 🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇦🇪 🇸🇦 🇶🇦 🇴🇲
Join the Fastest Growing Jobs Group on LinkedIn:
🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇰🇼 🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇰🇼 🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇰🇼 🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇰🇼 🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇦🇪 🇸🇦 🇶🇦 🇴🇲
Join the Middle East's Best Job Groups on Whatsapp:
🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇰🇼 🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇰🇼 🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇰🇼 🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇰🇼 🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇦🇪 🇸🇦 🇶🇦 🇴🇲
Join our Telegram Group:
🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇰🇼 🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇰🇼 🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇰🇼 🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇰🇼 🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇦🇪 🇸🇦 🇶🇦 🇴🇲
Submit your CV here, as well:
🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇰🇼 🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇰🇼 🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇰🇼 🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇰🇼 🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇦🇪 🇸🇦 🇶🇦 🇴🇲
We support the Far-Sighted, Growth Oriented Vision announced by the UAE, Saudi Arabia, Qatar, Oman, Kuwait and Bahrain.
It's an exciting time and the next 30 - 40 years will be those of the GCC countries.
Excited about working in the GCC? Click on one of the banner's below...
🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇰🇼 🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇰🇼 🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇰🇼 🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇰🇼 🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇦🇪 🇸🇦 🇶🇦 🇴🇲
SOCIAL INITIATIVE:
We publish job vacancies on this website and our Whatsapp groups for the benefit of job-seekers.
It is to help people who are searching for jobs from across the world.
This is a Social Initiative from our team @ dubai-forever.com, so please help us in this Noble Task by Forwarding these jobs within your Network.
Do this GOOD DEED.
You never know who will benefit from it.
You've heard about KARMA right?
It's waiting to give you 10X of whatever you do...Do the Good Deed. NOW!
🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇰🇼 🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇰🇼 🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇰🇼 🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇰🇼 🇦🇪 🇸🇦 🇶🇦 🇴🇲 🇧🇭 🇦🇪 🇸🇦 🇶🇦 🇴🇲
.jpeg)
No comments:
Post a Comment