Job Overview
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Date Posted
August 27, 2025
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Expiration date
August 27, 2026
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Experience
5–7 years of experience in medical billing/insurance in the UAE healthcare sector.
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Qualification
Bachelor’s degree in Healthcare Management, Business Administration, Finance, or related field (mandatory).
Job Description
Key Responsibilities
1. Insurance Operations Management
- Manage end-to-end insurance processes including eligibility checks, prior authorizations, claims submissions, and reconciliations.
- Ensure timely and accurate submission of insurance claims via DHA/DOH/MOHAP e-claim systems.
- Minimize claim rejections and denials by monitoring accuracy and compliance.
2. Contracting & Provider Network Relations
- Negotiate and manage contracts with insurance companies and TPAs.
- Maintain relationships with key insurance providers to secure favorable terms and ensure smooth operations.
- Monitor contract renewals, tariff agreements, and payment schedules.
3. Compliance & Regulatory Alignment
- Ensure compliance with UAE health authorities’ rules (DHA, DOH, MOHAP) and insurance regulatory frameworks.
- Implement policies for coding standards (ICD-10, CPT, DRG where applicable).
- Maintain confidentiality and ethical standards in handling patient insurance data.
4. Revenue Cycle & Reporting
- Monitor accounts receivable and insurance payment cycles.
- Conduct regular audits of insurance claims and denials.
- Generate management reports on claim performance, outstanding payments, and insurance KPIs.
5. Team Leadership & Training
- Supervise insurance coordinators/billing staff.
- Conduct training sessions on coding, claim submissions, and new insurance policies.
- Foster a culture of accuracy and accountability in insurance-related workflows.
Qualifications & Requirements
Education:
- Bachelor’s degree in Healthcare Management, Business Administration, Finance, or related field (mandatory).
- Certification in Medical Coding (CPC, ICD-10, CPT, or equivalent) preferred.
- Master’s degree (MBA, Healthcare Management) is an added advantage.
Experience:
- 5–7 years of experience in medical billing/insurance in the UAE healthcare sector.
- At least 2–3 years in a managerial or supervisory role within a medical centre, hospital, or TPA.
- Strong background in UAE insurance systems (eClaimLink, DHPO, Shafafiya for Abu Dhabi, etc.).
Skills:
- In-depth knowledge of UAE healthcare insurance regulations and claim processes.
- Strong negotiation and contract management skills.
- Excellent leadership, communication, and interpersonal skills.
Proficiency in medical coding systems (ICD-10, CPT).
- Strong analytical and problem-solving ability with a focus on reducing claim denials.
- Advanced MS Excel and ERP/EMR system knowledge (e.g., Cerner, Epic, or local systems integrated with DHA/DOH portals).