Medical Biller
Job Description
The Medical Biller is responsible for preparing claims for submission to the National Health Insurance Company as well as other private payers. The incumbent is responsible for timely submission of claims based on agreed submission terms with the insurance providers. He/ She is also responsible for following up on claims and processing resubmissions as required.
Responsibilities
| KEY ROLE ACCOUNTABILITIES |
| Releases completed claims for submission. Requests additional information from clinical areas in response to claims denials or inquiries by insurance providers. Prepares and processes claims based on claims work lists for submission to insurance providers or TPAs. Verifies claims for accuracy and completeness of information. Communicates with clinical areas to resolve any claim edits issues. Ensures that claim formats concur with insurance provider requirements. Prepares clean claims for electronic and/or manual submission. Accesses Cerner Charge Services to produce and submit claims. Follows up on submitted claims to ensure timely payment processing. Contacts insurance providers or TPAs on as needed basis. Identifies unpaid and partially paid claims and takes the necessary steps for appeal or resubmission. Processes claim re-submission as required. Posts insurance payments on the system. Refers patient related liabilities to the AR Section for processing. Escalates unresolved claims related issues to the Supervisor – Patient Billing and Revenue Reconciliation for further action. Documents events and interactions using electronic and manual systems. Maintains billing records in accordance with internal standards. Adheres to Sidra’s standards as they appear in the Code of Conduct and Conflict of Interest policies Adheres to and promotes Sidra’s Values |
Qualifications
| ESSENTIAL | PREFERRED | |
| Education | Bachelor Degree – Commerce, Health Information, or relevant discipline | |
| Experience | 2+ years’ of experience in medical billing using an electronic billing and insurance system | Hospital Experience Experience using Cerner Health Information System |
About Us
Sidra Medicine a healthy population is essential to a strong, prosperous society, and throughout 2020, Sidra continued to provide uninterrupted comprehensive specialist healthcare services for children and young people; and exceptional maternity, gynecology, and reproductive medical services for women, previously unavailable in Qatar and the region.” – H.H Sheikha Moza bint Nasser, Chairperson of Qatar Foundation
Sidra Medicine represents the vision of Her Highness Sheikha Moza bint Nasser who serves as its Chairperson. This high-tech facility is home to world-class patient care, scientific expertise, and educational resources.
