Rcm Officer

Job Description

Minimum 4 years of relevant RCM experience in Abu Dhabi, UAE.
*Previous experience in a medical center, hospital, or healthcare facility is mandatory.
*Strong knowledge of the UAE healthcare billing and insurance processes.
*Good understanding of DOH (Department of Health) regulations and requirements.
*Hands-on experience with medical billing, claims submission, resubmission, reconciliation, and payment posting.
*Knowledge of insurance eligibility, pre-authorizations, approvals, and claim denials management.
*Experience handling insurance companies, TPAs, and payer networks.
*Familiarity with UAE medical coding standards, CPT, ICD-10, and other applicable coding guidelines.
*Ability to monitor outstanding claims, accounts receivable (AR), and collection performance.
*Strong analytical, communication, and problem-solving skills.
&Proficiency in healthcare management systems and MS Excel.

Key Responsibilities:

*Manage the end-to-end revenue cycle process, from patient registration and eligibility verification to claims submission and collections.
*Ensure accurate and timely medical claims submission.
*Monitor rejected and denied claims and coordinate necessary corrections and resubmissions.
*Follow up with insurance companies and TPAs regarding pending claims and payments.
*Prepare RCM reports, track revenue performance, and identify opportunities to improve collections.
*Ensure compliance with insurance policies, contractual agreements, and DOH requirements.
*Coordinate with clinical, front office, and finance teams to minimize revenue leakage.