Job Description

Job Purpose:

To manage and coordinate all insurance-related activities, ensuring accurate and timely processing of patient claims, adherence to DHA and insurance regulations, and smooth communication between the clinic, patients, and insurance providers.

Key Responsibilities:

Insurance Coordination & Approvals

Verify patient insurance coverage and eligibility prior to services. Obtain pre-authorization and approvals for treatments and procedures. Ensure all documentation complies with DHA and insurance requirements.

Claims Management

Prepare, review, and submit insurance claims accurately and on time. Follow up on pending, rejected, or underpaid claims. Maintain proper documentation and claim tracking records.

Billing & Reconciliation

Coordinate with the accounts department to reconcile insurance payments. Verify invoices against approved claims and received payments. Ensure all discrepancies are resolved promptly.

Compliance & DHA Policy Knowledge

Ensure compliance with

DHA standards, policies, and insurance regulations

. Stay updated with any changes in DHA or insurance company policies. Support the clinic in DHA audits or inspections related to insurance processes.

Patient Support & Communication

Educate patients about their insurance benefits and coverage. Handle insurance-related queries in a professional and timely manner. Coordinate between doctors, patients, and insurance companies as needed.

Reporting & Documentation

Maintain accurate records of all claims, rejections, and payments. Prepare regular reports on claim status, collection trends, and insurance performance. Assist management in optimizing the revenue cycle process

Qualifications & Skills:

Bachelor's degree in Business Administration, Healthcare Management, or a related field. Minimum

2-3 years of experience

as an Insurance Coordinator in a healthcare facility (UAE preferred). Strong

knowledge of DHA policies, eClaimLink, and insurance claim processes

. Familiar with healthcare insurance portals and claim submission software. Excellent communication, negotiation, and follow-up skills. Attention to detail and ability to handle confidential information responsibly. Proficiency in MS Office (Word, Excel, Outlook). Arabic knowledge is an advantage.

Key Competencies:

Knowledge of medical coding and insurance terminology. Strong organizational and time management skills. Problem-solving and analytical thinking. Teamwork and adaptability in a fast-paced healthcare environment.
Job Types: Full-time, Contract
Contract length: 24 months

Pay: AED4,000.00 - AED5,000.00 per month

Experience:

* work: 2 years (Required)