hr specialist
Saudi Response plus for medical services
Total years of experience :9 years, 4 Months
Supporting the development and implementation of HR initiatives and systems Providing counseling on policies and procedures
Being actively involved in recruitment by preparing job descriptions, posting ads and managing the hiring process
SaudiDrResponseMoahmmedplusAlfagihfor
issuing medical insucroamncpelicated cases till completion
Gov sites ( Gosi, Muqeem, Giwa) Support patients when needed HR SpecialistRCM
inserting employees Data on Jisr APP.
Monitor rejection rates, identify common issues and work on developing appropriate systems
plans to decrease rejection rates. ProvidingEligibilitycounselingVerificationon
Monitor RCM Specialist claims activity collection and ensure execution as per agreed policies and procedures
terms and timing with the insurance.
BeingSubmittingactively approvalsinvolved
Work with RCM Manager on developing action plans to ensure financial equilibrium . (inpatientin
Review and submit all approvals on-time.
Review the documentation of all approval requests to ensure the accuracy and completenes of working papers, analysis, and results to support findings and recommendations.
Provide insurance companies with requests on time and getting approvals from them also follow up all pending requests.
Commit with submitting all requests in the due time
arranging interviews
Assist in the recruitment and onboarding process of new hires
Preparing work contracts and matching correct data and information
issuing Medical insurance for the employees and their family ( if any)
Manage employee records like their attendance and time off
Keep track of employee paperwork and help answer any questions
Ensure compliance with labor laws, rules, regulations
Eligibility Checking
submitting approvals ( inpatient -outpatient-dental-pharmacy )
creating new polices and follow up the pending cases.
Eligibility verification
CCHI'S Rules and Regulations
submitting approvals ( outpatient services )
policy Creation
pending cases follow up
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