▪ Processed and submitted medical claims via e-claim and Riyati portals, achieving a 95% approval rate and minimizing denials through accurate documentation and timely follow-ups. ▪ Conducted insurance verification, pre-authorization, and eligibility checks, coordinating with insurers and providers to resolve discrepancies and ensure compliant submissions. ▪ Reviewed patient records and EHR for medical necessity, coding accuracy (ICD-10/CPT), and alignment with UAE regulations and JCI/CARF standards. ▪ Managed denial management, appeals, and resubmissions, reducing rejection rates and improving reimbursement timelines. ▪ Maintained audit-ready documentation for claims, approvals, communications, and reconciliations. ▪ Leveraged physiotherapy expertise to evaluate and support claim approvals for rehabilitation services.