Overview

Reporting to the Supervisor, Insurance Services, the Officer, Insurance Service role is responsible for supporting the finance and insurance teams with the daily insurance activities involving but not limited to authorization, submission,resubmission and medical claims in alignment with MH\xe2\x80\x99s relevant insurance procedures and guidelines.

Responsibilities

• Adheres to the division\'s policies, procedures and standards while ensuring compliance with applicable regulatory bodies.
• Provides recommendations towards improving the division\'s policies and procedures wherever applicable.
• Contributes towards an innovative culture of continuous improvement for enhancing operational efficiency and effectiveness.
• Participates in meetings and maintain professionalism and confidentiality as per the organization\'s standard code of conduct.
• Maintains patient privacy, confidentiality, security and standards of ethics in all phases of release of the patient\xe2\x80\x99s medical information.
• Timely completion of personal performance evaluation cycle.
• Assists in the development and implementation of insurance guidelines, frameworks, and processes within MH.
• Conducts analysis of claim adjustments, bad debt provisions, and contractual allowances.
• Performs accuracy checks for all claim submissions and resubmissions with the respective insurance companies as per the agreed contracts.
• Coordinates discussions between billing clerks and utilization nurses for insurance claims process.
• Ensures the provision of a collection desk for collecting balances not received in the ordinary revenue cycle process.
• Develops necessary claim reports for analysis and performance output measurement.

Qualifications

ESSENTIAL

• Bachelor\xe2\x80\x99s Degree in Finance, Accounting, Business Administration or related fields
• 3+ years of progressive career experience
• Experience within Finance/ Accounting/ Insurance environment in a healthcare facility

PREFERRED

• Familiar with UAE Insurance practices

Mubadala Health