Responsibilities:
- Managing Business Rules Analyst and ensuring set targets are achieved.
- Monthly analysis and review of Remittance reports across all the payers and simultaneous provision of feedback suggesting updates for the Rule engine thereby decreasing denial trends for the clients and maximising remittance output.
- Monthly analysis and review of Bypass reports and simultaneous provision of input to improve rules. Hence, scrubbing and updating quality of Rule engine (THYNK)and optimizing end user experience.
- Analysing potential and new clients remittance reports and protocols.
- Reviewing different trends of analysis thus contributing to automation of Rules engine.
- Contributing in strengthening of THYNK as a complete product offered in markets to its clients.
- Email correspondence and troubleshoot with different departments for rule requests, suggestions and queries.
Requirements
- Minimum 4-5 years’ experience in the said field.
- Excellent Analytical skills and an eye for detail is a must.
- Medical Billing knowledge within private healthcare insurance sector required
- Recognised Professional Certification in Medical Coding highly desirable.
- Candidate with past working experience with insurance payers background (in leadership/management role) will be preferred.
- Should be well versed KSA local market regulations like CCHI, Health Council and SEBAHI
- Excellent verbal/written communication and leadership skills
- Proficiency in Healthcare Information Systems and Microsoft Office (Word, Excel, PowerPoint, etc.)
- Bi-lingual Arabic/English preferred
- Medical training as Doctor/Nurse/Pharmacist is highly desirable
Please apply here:
https://www.linkedin.com/jobs/collections/recommended/?currentJobId=2943734225