Insurance Coordinator

Role overview

Prior authorizations and approvals

• Review medical records, diagnostic reports, and doctors’ notes and submit timely prior-authorization requests through insurance portals.
• Follow up with insurers on pending approvals, requests for additional information, or medical peer reviews.
• Communicate approval statuses to clinical teams, patient relations desks, and patients.

Medical coding and claims

• Apply ICD-10-CM, CPT, HCPCS, and local regulatory codes to patient files and encounters.
• Prepare, audit, and batch electronic claims for submission through e-Claim platforms.
• Verify eligibility, coverage networks, co-payments, deductibles, and pre-existing condition terms before consultations or procedures.

Rejections and resubmissions

• Analyze claim rejection codes, identify root causes, and prepare clinical documentation for appeals.
• Process resubmissions and reconciliation within contractual timelines to minimize financial write-offs.
• Coordinate with treating physicians to obtain documentation needed for claim reevaluations.

Empanelments and network management

• Assist with establishing, renewing, and updating provider contracts and insurance empanelments.
• Maintain a directory of contracted insurers, network tiers, and policy guidelines.
• Periodically review tariff structures, discount schedules, and claim settlement agreements.

Qualifications and experience

• Bachelor’s degree in Healthcare Administration, Nursing, Pharmacy, or a related field.
• At least three years of direct UAE experience as an Insurance Coordinator in a polyclinic, medical center, or hospital.
• Proficiency with standard UAE insurance platforms and clearinghouses; expert command of ICD-10, CPT, and HCPCS coding.
• Hands-on experience with HIS/EMR and deep familiarity with UAE health authority guidelines and major TPA protocols.
• Fluent in English. Medical Coding certification (AAPC/AHIMA) and Arabic proficiency are strong advantages.

Pay

• AED 2,500–3,500 per month.

Work location

• Position is in person in Sharjah.