NMC Healthcare is seeking an experienced Candidate for the job of RCM Administrator in Sharjah, UAE. NMC Healthcare is the most trusted and the largest private Healthcare company in the UAE for over 40 years. With a dedicated team of Doctors, Nurses, Allied health and support personnel, NMC owns and manage numerous Healthcare facilities in the UAE, treating millions of patients every year. The company has specialized verticals that include Multi-Specialty Care, Maternity and Fertility, Long-Term and Home Care, Medical Centers, Day Surgery Centers, Operations and Management.
Role of RCM Administrator
At NMC Royal Hospital Sharjah (UAE), the job role of a RCM/ Medical Billing Administrator is to manage Claims Submission by checking Accuracy of CPT and ICD coded invoices. The Revenue Cycle Manager will also rectify errors in billing in coordination with the doctors.
Responsibilities of RCM Administrator/ Revenue Cycle Manager
- Reviews Documentation by the physicians in the UCF / E – Discharge summary and look for discrepancies between the Documentation and the coded, Diagnosis and selected CPT codes.
- Overviews the notes prepared for UCF / Discharge Summary have all the required information. In case any information is missing, contact the physician and get it filled.
- Is available to the Consultants about any Clarification regarding ICD/CPT codes.
- Speaks to Clinicians about specialty specific rejections and reasons for the rejections and how to avoid such rejections.
- Verifies the ICD10 CM codes and relevant CPT/HCPCS codes on the claims for submission to various Insurance companies on day-to-day basis.
- Provides Reports/feedback about proper implementation of ICD/ CP coding.
- Provides training material and support to the cashiers/claims processors / nurses with regards to ICD/CPT and other relevant medical coding requirements.
What you’ll do
- Identify the ICD codes (Diagnosis under Exclusion) and CPT codes (not billable).
- As a Medical Billing Administrator, Upload e-claims to the DHPO and/or any other portal necessary for claiming payments of direct billing claims.
- Coordinate with Insurance Companies’ medical teams for Clarifications and other day to day issues.
- Coordinate with Billing Supervisor / Accountants for e-claim submission, Resubmission, Follow Up, Reconciliation and Final Sign off.
- Enter the codes in the software application.
- Adhere to the company’s Policies and Procedures.
Education & Experience
- Bachelor’s degree from an accredited college / university.
- Bachelor’s degree in Nursing, Pharmacy, Physiotherapy is Preferable.
- Certification from AAPC / AHIMA is a must.
- Relevant Experience as Revenue Cycle Manager is Preferable.
Knowledge & Skills
- Have sound Knowledge of UAE Healthcare Provider Billing.
- Ready to work with Doctors in their Respective time zones.
- Good Administrative skills.
