Job Description

Job Category: Administration
:
To support the Funder Relations team in managing the relationships with insurance companies and third-party payers, ensuring efficient communication, documentation handling, and resolution of operational and reimbursement issues in accordance with NMC policies and UAE health regulations
Responsibilities:

• Assist in coordinating communication between NMC and insurance/corporate companies/funders regarding contract, contract terms, facility empanelment addition, deletion, NMC bank accounts, doctor profile, new service addition and price revision etc.,
• Support the resolution of claim rejections, short payments, and pre-authorization issues by liaising with internal stakeholders and payers.
• Support the resolution of price revision updates by liaising with internal stakeholders (IT) and payers.
• Maintain up-to-date records of funder correspondence, contract registers, and key account documentation.
• Monitor funder response times and escalate delays to the Funder Relations Manager.
• Help track funder performance indicators (e.g., claim acceptance, turnaround time, denial rates).
• Schedule and coordinate meetings between NMC management and funder representatives.
• Prepare reports and summaries related to funder activity and performance for review by senior management.
• Collaborate with revenue cycle, billing, coding, and clinical teams to resolve funder-related issues impacting revenue realization.
• Ensure compliance with DHA/DOH regulations regarding insurance and third-party administration.

Qualifications:
Education and Certification

• Bachelor's degree in Healthcare Administration, Business, Finance, or related field.

Knowledge and Skills

• 2-4 years of experience in payer relations, healthcare revenue cycle, or managed care within a hospital or multi-facility provider.
• Solid understanding of UAE healthcare insurance landscape
• Working knowledge of claims processes, CPT/ICD coding, denial management, and reimbursement policies.

Experience

• Experience with hospital information systems (HIS), claims platforms, or EMR software is a plus.

Skills Required