Senior RCM Operations Leader at Al Mazroui Medical and Chemical Supplies LLC
Dubai, Dubai, United Arab Emirates -
Full Time


Start Date

Immediate

Expiry Date

06 Jan, 27

Salary

75000.0

Posted On

15 Oct, 26

Experience

9 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Industry

Consumer Services

Description

Key Responsibilities

1. HIS Master Data Management

  • Manage and maintain critical HIS master data required for accurate RCM billing and revenue capture.
  • Maintain pricing masters, including tariffs, rate plans, effective dates, payer-specific pricing and related configurations.
  • Maintain package masters, including package components, pricing, validity and payer/plan applicability.
  • Manage Insurance Plan / Policy Masters, including insurer, plan, network and rate-plan mappings.
  • Ensure timely and accurate implementation of approved pricing, contractual, payer and regulatory changes within HIS.
  • Perform detailed validation and QC of master-data updates before and after implementation.
  • Ensure appropriate documentation, approvals and audit trails are maintained for master-data changes.
  • Identify and resolve incorrect mappings, duplicate masters, configuration inconsistencies and other data-quality issues.


Responsibilities

Key Responsibilities

1. HIS Master Data Management

  • Manage and maintain critical HIS master data required for accurate RCM billing and revenue capture.
  • Maintain pricing masters, including tariffs, rate plans, effective dates, payer-specific pricing and related configurations.
  • Maintain package masters, including package components, pricing, validity and payer/plan applicability.
  • Manage Insurance Plan / Policy Masters, including insurer, plan, network and rate-plan mappings.
  • Ensure timely and accurate implementation of approved pricing, contractual, payer and regulatory changes within HIS.
  • Perform detailed validation and QC of master-data updates before and after implementation.
  • Ensure appropriate documentation, approvals and audit trails are maintained for master-data changes.
  • Identify and resolve incorrect mappings, duplicate masters, configuration inconsistencies and other data-quality issues.


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