Job Description

Overview

Facility Overview

Imperial College London Diabetes Centre (ICLDC), a key partner of M42, is a world-class outpatient facility dedicated to the treatment of diabetes, as well as research, education, and public health awareness. Established in collaboration with Imperial College London to meet the rising demand for diabetes care in the UAE, the Centre now operates four branches across Abu Dhabi, Al Dhafra, and Al Ain, positively impacting the lives of over one million people through its clinical services and health-focused initiatives.

Role Overview

The Senior Officer, Insurance Services reports directly to the Supervisor, Insurance Services and plays a key role in supporting both the finance and insurance teams in their day-to-day operations. This role involves a wide range of responsibilities, including but not limited to handling insurance authorizations, claim submissions and resubmissions, and processing medical claims. The Senior Officer ensures that all insurance-related activities are executed in full alignment with M42’s established procedures and regulatory guidelines. With a strong focus on accuracy, compliance, and collaboration, the Senior Officer contributes significantly to the efficiency of insurance workflows and the overall quality of patient care.

Responsibilities

• Ensure accurate processing of insurance and corporate claims in line with reimbursement agreements
• Coordinate with insurance providers for eligibility checks, approvals, and reconciliation
• Support verification, preauthorization, and benefit entry across departments
• Communicate billing and insurance guidelines to staff and physicians
• Maintain organized records and assist with payment tracking and audits
• Monitor receivables and manage outstanding balances
• Analyze claim adjustments and ensure compliance with billing standards
• Collaborate with billing clerks, utilization nurses, and supervisors
• Participate in staff training and contribute to process improvements
  

Qualifications

• Minimum 3 years of hands-on experience in handling pre-approvals, payer auditing, submission or resubmission and Medical Coding for DOH Claims
• CPC or CCS Certification
• Familiar with DOH claims adjudication guidelines