Senior Billing Analyst
Cleveland Clinic Abu Dhabi - Abu Dhabi
Job description
Job Summary
Prepares reviews and submits claims to insurance/third party payers. Functions as a resource for new Billing Analyst I.
Primary Duties and Responsibilities
Responsible for high balance insurance billing, specialized insurance billing (Pharmacy, DME, transplant, surgery) and respective edit resolution.
Prepares insurance claims for submission to all third party payers and/or responsible parties. Ensures all errors are corrected.
Reviews claims for accuracy, including proper diagnosis and procedure codes.
Ensure appropriate review of bills and statements before sending out to insurance companies to reduce risks of denial.
Assist with the implementation or upgrade of the billing system.
Required to have updated knowledge of both CCAD and UAE insurance regulations around billing to ensure compliance to appropriate regulations.
Recognizes and resolves billing or coding inconsistencies. Uses clinical and coding knowledge to ensure accurate and compliant charge items.
Other duties as assigned.
Prepares reviews and submits claims to insurance/third party payers. Functions as a resource for new Billing Analyst I.
Primary Duties and Responsibilities
Responsible for high balance insurance billing, specialized insurance billing (Pharmacy, DME, transplant, surgery) and respective edit resolution.
Prepares insurance claims for submission to all third party payers and/or responsible parties. Ensures all errors are corrected.
Reviews claims for accuracy, including proper diagnosis and procedure codes.
Ensure appropriate review of bills and statements before sending out to insurance companies to reduce risks of denial.
Assist with the implementation or upgrade of the billing system.
Required to have updated knowledge of both CCAD and UAE insurance regulations around billing to ensure compliance to appropriate regulations.
Recognizes and resolves billing or coding inconsistencies. Uses clinical and coding knowledge to ensure accurate and compliant charge items.
Other duties as assigned.
Desired Skills and Experience
Experience Requirements
Minimum of 2 - 3 years’ billing experience preferably in patient accounting billing system or healthcare insurance company is required.
Knowledge and understanding of patient accounts management, including insurance processing and cash application
Proficient with PCs, spreadsheets and other software applications
Strong oral and written communication skills.
Ability to speak and write in English is required.
Health care industry experience is preferred.
Education Requirements
Bachelor’s degree in Health Care Administration, Business Management, Accounting or Finance, or related field, is preferred.
In the absence of a Bachelor’s Degree mentioned above, an equivalent experience of four (4) years working in the same capacity in a hospital, clinic or health insurance company involved in provider/patient contacts will be considered.
Certificate in Medical Billing or from a specialized program is preferred.
Minimum of 2 - 3 years’ billing experience preferably in patient accounting billing system or healthcare insurance company is required.
Knowledge and understanding of patient accounts management, including insurance processing and cash application
Proficient with PCs, spreadsheets and other software applications
Strong oral and written communication skills.
Ability to speak and write in English is required.
Health care industry experience is preferred.
Education Requirements
Bachelor’s degree in Health Care Administration, Business Management, Accounting or Finance, or related field, is preferred.
In the absence of a Bachelor’s Degree mentioned above, an equivalent experience of four (4) years working in the same capacity in a hospital, clinic or health insurance company involved in provider/patient contacts will be considered.
Certificate in Medical Billing or from a specialized program is preferred.
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