Job Description

We are seeking a detail-oriented and proactive Billing & Insurance Coordinator to manage insurance eligibility, pre-authorizations, claims submission, reconciliation, and patient billing processes.

The successful candidate will play a critical role in ensuring accurate revenue cycle management, compliance with UAE healthcare regulations, and a seamless financial experience for patients. This role requires strong coordination with clinical teams, front desk staff, insurers, and finance.

Key Responsibilities

• Insurance Verification & Pre-Authorization
• Verify patient insurance eligibility, coverage limits, exclusions, and co-pay requirements prior to appointments
• Obtain and track pre-authorizations for consultations, diagnostic services, imaging, laboratory tests, and procedures
• Coordinate with clinicians to ensure required medical documentation supports authorization requests
• Communicate approvals, denials, and coverage details to patients and internal teams
• Claims Submission & Processing
• Prepare, review, and submit accurate insurance claims in compliance with UAE payer requirements and coding standards
• Ensure correct CPT/ICD coding coordination with clinical and medical records teams
• Monitor claim status, follow up on pending claims, and resolve rejected or denied claims promptly
• Maintain accurate documentation of submissions, resubmissions, and appeals
• Patient Billing & Collections
• Generate patient invoices for co-payments, deductibles, and uncovered services
• Provide clear explanations of charges and payment responsibilities to patients
• Process payments and maintain accurate financial records
• Support collections follow-up in a professional and patient-centered manner
• Revenue Cycle & Reconciliation
• Reconcile daily billing reports with EMR and finance records
• Coordinate with the finance department on revenue reporting and discrepancies
• Track KPIs related to claims acceptance rates, denials, and turnaround times
• Identify opportunities to improve billing efficiency and reduce revenue leakage
• Compliance & Regulatory Adherence
• Ensure compliance with DHA regulations, insurance policies, and UAE healthcare billing standards
• Maintain confidentiality of patient financial and medical information
• Support internal audits and insurance audits when required
• Collaboration & Patient Experience
• Work closely with physicians, nurses, radiology, laboratory, and front desk teams to ensure seamless workflow
• Support transparent communication with patients regarding coverage, approvals, and financial obligations
• Contribute to continuous improvement of administrative and operational processes
  

Requirements

Qualifications & Experience

Required:

• Bachelor’s degree or diploma in Healthcare Administration, Finance, Medical Coding, or related field
• Minimum 2-4 years of experience in healthcare billing and insurance coordination in the UAE
• Strong understanding of UAE insurance providers, claim submission systems, and DHA billing regulations
• Familiarity with ICD and CPT coding standards
• Experience using EMR systems and insurance portals
  

Preferred:

• Experience in specialty clinics (endocrinology, diabetes, metabolic health, cardiology)
• Knowledge of value-based care or integrated care models
• Experience handling high-volume insurance coordination
  

Skills & Competencies

• Strong attention to detail and accuracy
• Excellent organizational and time-management skills
• Problem-solving mindset with ability to manage claim rejections effectively
• Strong communication skills (verbal and written)
• Professional, patient-centered approach
• Ability to work in a fast-paced, multidisciplinary environment