Job Description

Full Job description:

We are seeking a highly motivated and experienced Insurance Manager to lead our insurance sales team and drive growth within our organization.

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

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. 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).
Job Type: Full-time

Pay: Up to AED10,000.00 per month