The Accounts Receivable Supervisor will be working for Aspen Medical, based in the Abu Dhabi. He/She may be assigned to any of the Aspen Medical Primary Care Health Centers.
The Accounts Receivable Supervisor is expected to have a thorough knowledge of Claims Processing, Medical Coding and Billing and to be proficient in the HIS/ERP. They should exhibit outstanding financial and managerial expertise and be an effective communicator. Accounts Receivable Supervisor directs and oversees the overall policies, objectives and initiatives of an organizations revenue cycle activities. The candidate is expected to Review, design and implement the processes surrounding admissions, pricing, billing, third party payer relationship, compliance, collection and other financial analysis to ensure that clinical revenue cycle is effective and properly managed.
Accounts Receivable Supervisor is accountable for overseeing the billing accounts, DSO Days and Rejections.
Ensure good relationship with TPA/Insurance co. Finalize the discounts and pricing, Volume Rebates and Factors with Payers.
Responsible for insurance collection and empanelment for new facilities.
Data Analysis, Management Reporting, Market Sensitivity Analysis, Rejections, Sales Mix, ARPP, High Value prescriptions, Insurer Ranking etc.
Denial control measures and Effective resubmission.
Manages all functions of the organizationâs billing and revenue cycle to maximize cash flow while maintaining and improving internal and external customer relations.
Knowledge of Service fee billing, reimbursement and third-party payer regulation and medical terminology is required.
Working knowledge of regulatory requirements pertaining to health care operations and their impact on operations.
Strong problem â solving skills and ability to make timely decisions
Demonstrate coding and billing knowledge/experience preferred.
Working in the Healthcare/Pharmaceutical/Insurance industries these experts are involved in disbursing the following roles and responsibilities
Manage Insurance accounts.
Receivables ageing and Management Reporting.
Insurance Empanelment, Discount, Rebates, Price and Factor Negotiation with Insurance Companies/TPAs
Accounts Receivable Follow Up, Communicating with insurance/TPAs
Ensuring that the Claims are settled within minimum TAT and rejection analysis
Detecting billing system problems, correcting such errors
Generating reports and propose enhancements.
Requirements
1. Qualifications & Experience
Bachelor / or Diploma holder
At least 3 yearsâ experience as Accounts Receivable Supervisor in a Hospital/ Clinic Background in UAE.
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