Summary
Dallah Health is seeking a Medical Insurance Coordinator in Riyadh to support revenue cycle administration. The role provides medical support to approvals, claims processing and billing, coordinates contract requirements with medical staff, and handles insurance rejections and final settlement reconciliation. The coordinator also contributes to departmental performance indicators, data analysis, safety and risk management, and incident reviews. Requirements include a basic and postgraduate medical degree, a Saudi Ministry of Health license, three years of postgraduate experience in medical practice, and two years of practical experience in medical administration.
The posting
As published on dallahhealth.com. Pulled from the employer's site and shown as they wrote it.
-Assists the Revenue Cycle management in medical administration of the business.
- Participate in creation of contractual agreements with clients.
Providing the medical support to approval section.
Providing the medical support to claims processing center.
Provide the medical support to billing section.
Coordinating with the medical staff for the client?s contracts, requirements and forms.
Coordinate with Ins. Co. for Rejection & Reply of Insurance Company rejections.
Responsible for reconciliation with Ins. Co. for final settlement.
Fully aware and actively implement the departmental policies and procedures, local and international standards or requirements related to the department.
Actively involves in indicator development, data collection for the department and to measure the performance of the function, process, and outcome. Whenever required, conducts analysis and interpretation of data/information collected.
Participate in hospital Safety Management & Risk Management Programs. Actively reports incidents in the system and whenever needed, participates in incident review, and root cause analysis.
Performs any other duties within the range of his / her professional knowledge and skills as directed by the Revenue Cycle Director
Requirements
3 years postgraduate experience in medical practice.
2 years practical experience in medical administration.
Basic Medical Degree
Licensed by the Saudi Ministry of Health
Postgraduate Medical Degree