Job Description
RCM Officer at NMC Specialty Hospital will manages insurance approvals for insured patients. Liaises between NMCRHSHJ and Insurance Companies. This is an Intermediate level full time role. For this position salary ranges from 7000-15000 AED, which may be slightly negotiable during the interview process.
Responsibilities of RCM Officer
- Coordinates with clinicians and/or other clinical staff of different specialities for gathering relevant information/documentation for onward submission.
- Liaises with Insurance Companies/TPAs for submitting, resubmitting and replying queries raised by Insurance Companies/TPAs efficiently.
- Shows knowledge of medical terminologies and good command on pronouncing medical words.
- Demonstrates strong attention to details and ability to multitask within the fast- paced, high-pressure work environment.
- Able to manage filing and tracking approval/denials/queries and inform concerned clinicians and patients about the requested service(s) status.
- Prepares cost estimation accurately as per the current agreed terms.
- Responsible for maintaining an active database of the instructions/communication about Insurance Companies/TPAs from RCM Office.
- Practices professional telephone etiquette and customer service while making claim inquires and quickly resolving any patient complaints and concerns.
- Provides aid to Front Desk Staff regarding Insurance Protocols and Coverage.
- Maintains strict confidentiality related to medical records and other data.
Requirements for Role of RCM Officer
- Bachelor’s degree from an accredited college / university.
- Certification from AAPC / AHIMA is a must.
- 2-5 years of experience in healthcare revenue cycle management or a related field.
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