Job Description

Hiring!

We are seeking a OP Reconciliation Associate & IP Reconciliation Associate to join our healthcare revenue cycle team in Abu Dhabi. The ideal candidate will be responsible for ensuring accurate reconciliation of Outpatient (OP) and Inpatient (IP) claims, identifying discrepancies, and supporting timely revenue realization in compliance with UAE healthcare payer guidelines.

Key Responsibilities:
1. Perform end-to-end reconciliation of OP & IP claims between HIS, payer portals, and bank statements.
2. Track submitted, paid, partially paid, and rejected claims to ensure accurate revenue posting.
3. Identify and analyze payment variances, short payments, denials, and adjustments.
4. Coordinate with Billing, Coding, Authorization, and Accounts teams to resolve discrepancies.
Reconcile EOBs / RAs from payers and ensure correct posting in the system.
Maintain reconciliation trackers and prepare periodic MIS and management reports.
5. Follow up with insurance companies for pending or incorrect payments.
Ensure compliance with Abu Dhabi payers, DOH regulations, and contractual tariff agreements.
6. Support month-end and audit reconciliation activities.

Requirements:
1. Bachelor’s degree in Healthcare Management, Finance, Accounting, or a related field.
2. 2–4 years of experience in OP & IP RCM reconciliation & denial management within the UAE healthcare sector.
3. Strong knowledge of Abu Dhabi insurance payers and reimbursement processes.
4. Experience working with EOBs/RAs, payer portals, and hospital/clinic HIS systems.
5. Excellent analytical and reconciliation skills with high attention to detail.
Proficiency in MS Excel and reporting tools.
6. Good communication skills in English

Interested candidates may send their CV to rcmcareers@accumed.ae with the subject line
“OP or IP RCM Reconciliation Associate – Abu Dhabi”.