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Contract TypeFull-time
Workplace typeOn-site
LocationRiyadh

Job Description

About the Tamheer Revenue Cycle Management Role

Bupa Arabia is seeking a Tamheer Revenue Cycle Management professional to join our team in Riyadh, Saudi Arabia. This full-time role is designed for individuals with 0-1 years of experience, focusing on the critical aspects of the revenue cycle to ensure efficient and accurate financial operations.

Role Overview

The individual in this role will be responsible for overseeing all components of the revenue cycle. This includes patient registration, insurance verification, accurate charge capture, coding, billing, and collections. A key aspect of the role involves monitoring and managing claims submissions, payments, denials, coding compliance, and the appeals processes to ensure financial integrity.

Key Responsibilities

  • Analyze medical reports, patient records, and claims submissions to identify discrepancies and ensure accuracy.
  • Verify the accuracy of information provided by all stakeholders involved in the revenue cycle.
  • Ensure that all claims adhere strictly to the terms and conditions of the relevant insurance policies.
  • Monitor and manage the processes for claims submissions, payments, and denials.
  • Oversee coding compliance and manage the appeals processes for denied claims.

Compliance and Record Keeping

  • Maintain accurate and detailed records of claim evaluations, approvals, and denials.
  • Perform comprehensive record keeping and reporting of all revenue cycle activities.
  • Ensure compliance with all applicable regulatory requirements and internal company policies throughout the claims assessment and processing activities.
  • Guarantee the accurate and timely processing of medical claims submitted to insurance companies and other third parties.

Candidate Requirements

This position is suitable for candidates with 0-1 years of professional experience. The ideal candidate will demonstrate a foundational understanding of revenue cycle management principles and a commitment to accuracy and compliance.

Work Environment

This is a full-time position based in Riyadh, Riyadh, Saudi Arabia. The role operates within a professional environment focused on maintaining high standards of financial processing and regulatory adherence.


Requirements

  • No experience required

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