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    Billing Specialist I - Dubai, United Arab Emirates - Energy Jobline

    Energy Jobline
    Energy Jobline Dubai, United Arab Emirates

    1 week ago

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    Description

    EssentialFunctions

    • Initiates Prior Authorizationsubmissions and completes all follow ups for all insurance Payorsincluding Medicare Advantage, Medicaid's, HMO, PPO, andCommercial until the case has reached adetermination.
    • Compiles pre-certificationinformation to submit prior authorization requests via outboundphone calls and/or web-based sites (familiarity withpayors).
    • Performs regular follow-up calls withinsurance companies to check status of prior authorization request.Logs approval in database.
    • Conducts outboundand/or inbound calls to patients, doctor's offices,insurance companies as necessary or required to completetasks.
    • Ensures proper documentation is receivedand recorded before processing additional supplies to patients, percompliance guidelines.
    • Ensures accurate entryand update of changes as requested by physicians and/orpatients.
    • Maintains working knowledge ofbilling guidelines and resources for Medicare and PrivateInsurances.
    • Recognizes and reviews billedorders to effectively request authorization for upcomingrefills.
    • Researches, follows up, and resolvesall open/pending Authorizations in a timelymanner.
    • Develops and maintains knowledge of allproducts and services offered by thecompany.
    • Complies with HIPAA rules,appropriately safeguarding PHI or other private &confidential information.
    • Maintains accurateand detailed notes in the companysystem.
    • Adapts quickly to frequent processchanges and improvements.
    • Is reliable, engaged,and provides feedback as to improve processes andpolicies.
    • Attends all department, team, andcompany meetings as required.
    • Appropriatelyroutes incoming calls when necessary.
    • Meetspatient service quality standards.
    • Embraces andexemplifies ADS core values:
    • We growtogether
    • We care
    • We obsessover the customer experience
    • Wecommit
    • We WOW
    • May performany additional responsibilities or special projects asrequired.
    • Duties and responsibilities may besubject to change based upon the needs of thedepartment.

    Requirements

    • High School diploma orequivalent
    • Knowledge of insurance verificationand/or authorization, billing, and processingclaims
    • Basic knowledge of billing guidelinesand resources for Medicare and Privateinsurance
    • Basic knowledge of insurance portals;familiarity with a variety of medical and/or insurance terms orpractices
    • Proficiency in basic math andbusiness calculations
    • Working knowledge ofcomputer/data entry with the ability to learn newsystems
    • Basic level of MS Officeproficiency

    ExpectedCompetencies

    • Friendly, professional, and effectivecommunications skills; able to calmly present solutions inchallenging situations
    • Ability to work well ina team environment that promotes inclusiveness and communicationamong team members
    • Effective interpersonalskills
    • Clear diction and knowledge of theEnglish , both written and verbal
    • Detailoriented, highly organized; able to work at a fast, productivepace
    • Service- and aptitude to resolve insuranceand/or patient matters
    • Self-directedaccountability and reliability
    • Culturalcompetence

    PhysicalDemands

    The physical demandsdescribed below are representative of those that must be met by anemployee to successfully perform the essential functions of thisjob. Reasonable accommodations may be made to enable employees withdisabilities to perform the essentialfunctions.

    While performing theresponsibilities of the job, the employee is required to remain ina stationary position most of the time (stand or sit). Whileperforming the duties of this Job, the employee is regularlyrequired to sit; use hands to finger, handle, or feel; and talk orhear. The employee is frequently required to stand, walk and reachwith hands and arms. The employee is occasionally required tostoop, kneel, crouch, or crawl. The employee must occasionally liftand/or move up to 15 pounds. Specific vision abilities required bythis job include close vision and ability to adjustfocus.

    OtherRequirements

    • Candidates must successfully pass abackground check.
    • Candidates must be able toprovide proof of eligibility to work in the UnitedStates.
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