• Al Futtaim UAE Careers | Customer Service Executive | Healthcare

    Al Futtaim UAE Careers | Customer Service Executive | Healthcare

    Location: Dubai - United Arab Emirates

    Job Description

    Al Futtaim Group Healthcare is looking for Customer Services Executive - Healthcare to provide end to end operational support to the patients including but not limited to insurance, appointments & invoicing and general customer service. As a Customer Services Executive - Healthcare you will be responsible to provide a multidisciplinary approach to ensure patient care is provided with the best service at all time.

    Duties and Responsibilities

    Your main responsibilities in this role include the following:

      Medical Insurance

    • Responsible for the accurate flow of medical information and patient data between physicians, patients and third-party payers with the use of accurate code to define diagnostics, treatments and procedures and to enter this information into a the facility’s database using medical coding protocol to produce a statement or claim.

    • To act as a liaison between the facility and payment parties to investigate the claim, verify its information, and update the database in the instance that a claim is denied by the third-party payer.

    • Review patient medical records

    • Communicating with medical billing specialists to ensure treatment codes are accurately received

    • Submission of claims

    • Taking timely approval of investigations/ procedures.

    • Medical Invoicing

    • Invoicing the services as per the agreed prices.

    • Receiving patient treatment codes to use in assembling reimbursement claims

    • Make sure CPT codes are accurate as per service

    • Billing patients for medical services

    • Enter patient information into computer files, and possibly also in paper records

    • Organize, manage, and sort paperwork (including patients’ charts)

    • Continue to enter data as patients are subjected to diagnostic tests and receive treatments

    • Prepare and mail billing statements

    • Resolve conflicts regarding payments and reimbursements

    • Investigate and report instances of insurance fraud

    • Provide information and prepare documents for legal inquiries and litigation

    • Ensure the confidentiality of patients’ personal information

    • Perform clerical duties that may include answering the telephone, greeting patients, and sorting mail.

    • Customer Service

    • Provides a high level of customer service to the patients.

    • Interacts with client with professional and personal manner.

    • Responds to questions according to regulatory protocols.

    • Guides flow of clinic traffic and directs clients to open station.

    • Maintains client schedule at clinics that have pre-scheduled appointment times.

    • Assists in accurate and legible documentation of clinic forms.

    • Assures every client is signed in and has completed clinic paperwork.

    • Check consent/ insurance form for completeness and legibility before the client goes to the Registered Nurse for services.

    • Communicates effectively with client regarding the information that is needed.

    • Responds to urgent customer needs in a timely and professional manner.

    • Makes recommendations and implements process improvements.

    • Participates in fostering a safe workplace.

    • Participates in employee job safety analysis to eliminate hazards and prevent accidents.

    • Cash Handling

    • Manage up-to-date clinic income records by sending and receiving bank checks and documenting all relevant transactions.

    • Receives and reconciles cash, checks or credit card for payment and issues receipts as required

    • Handles cash box as needed. • Accurately makes change when needed. • Responsible for cash box during clinic and transfers money to accounts department at end of clinic for deposit

    • Handle all payments to clinic suppliers and accurately enter daily payment activities (credit, insurance, cash, check, payment for previous visit) into software management system

    • Counts and reconciles money in cash drawers at the beginning and end of shifts to ensure that amounts are correct and notifies supervisor if any discrepancy is found

    • Transfer income activities to the financial system on a daily basis

    • Create daily, weekly, and monthly reports from clinic financial data

    • Obtains valid authorization for all credit card payments

    • In the event a refund is being requested, initiates checking the system for delinquent accounts or outstanding balance, suggests to apply payment of refund against outstanding balances before processing any refunds

    • If a refund is necessary, ensures all appropriate documents and signatures are obtained, and refunds are entered in the system

    • Maintains general knowledge of cash handling and controls and complies to cash handling policies and procedures

    • Calculates total amounts received and reconciles with supervisor at the end of each shift before closing cash drawers

    • Liaise and support other members of the multi-disciplinary team and other agencies relating to patient care, maintaining good communication channels.

    • Be aware of safe guarding policies, both local and national, and implement such policies should it become necessary.

    Job Requirements

    • Graduate Degree in any stream.

    • Experience in all or any area of Insurance, Cash Handling, Customer Service & Invoicing.

    • Fluency in English (speak, read and write).

    • Arabic speaking skills will be an added advantage.

    • Excellent Computer Literacy skills is required.

    • Minimum 2 experience in a similar role.

    • Specific Skills

    • Have knowledge to undertake the below mentioned multidisciplinary tasks

    • Medical Insurance Coding

    • Medical Invoicing

    • Cash Handling

    • Customer relations

    • Behavioral Competencies

    • Excellent presentation and analytical skills

    • Exceptional written and oral communication skills

    • Good decision making skills

    • Strong operational thinking skills

    • Critical Thinking

    • Conflict Management

    • Ability to read fine print at times.

    • Multi-Tasking

    • Customer service skills to include; diplomacy, patience, problem solving with a range of clientele.

    Job Details

    Company/Organization: Al Futtaim

    Employment Type: Full-time

    Job Location: Dubai, United Arab Emirates

    Application Deadline: N/A