RCM and Medical Insurance Claim Officer

Overview

Key Responsibilities

• Handle end to end Revenue Cycle Management processes including eligibility verification, pre authorization, claim submission, resubmission, and reconciliation
• Prepare, review, and submit insurance claims through eClaimLink and insurance portals in compliance with DHA guidelines
• Review patient files, treatment notes, and medical documentation for accurate coding and billing
• Apply accurate ICD 10, CPT, and HCPCS coding standards
• Monitor and follow up on approvals, rejected claims, underpayments, and unpaid claims
• build good professional relationship with insurance companies
• Bring the new insurance compnies for empanelment
• Coordinate with insurance companies regarding claim clarifications, approvals, and resubmissions
• Ensure medical necessity and compliance with payer policies and DHA standards
• Analyze claim rejection trends and support corrective action plans to minimize denials
• Maintain accurate documentation and confidentiality of patient and billing information
• Support audit readiness, insurance reconciliation, and reporting activities
• Collaborate with doctors, nurses, finance, and front office teams to improve billing efficiency and claim turnaround time
• Ensure compliance with NABIDH, DHA regulations, and internal policies

Requirements

• Bachelor’s Degree or Diploma in Healthcare Administration, Medical Coding, Life Science, or related field
• CPC Certification or equivalent medical coding certification will be an added advantage
• Minimum 2 to 5 years of UAE experience in Revenue Cycle Management, Medical Claims, Insurance Billing, or Medical Coding
• Strong knowledge of ICD 10, CPT, HCPCS coding, and UAE insurance billing processes
• Hands on experience with eClaimLink, insurance portals, and EMR systems
• Good understanding of DHA regulations, payer billing guidelines, and pre authorization processes
• Strong analytical, organizational, and problem solving skills
• Excellent communication and coordination abilities
• Ability to work under pressure and meet submission timelines
• Arabic speaking skills will be an added advantage

What We Offer

• Professional and supportive healthcare environment
• Opportunity to work within a growing multidisciplinary healthcare organization
• Competitive salary package based on experience and qualifications
• Career growth and professional development opportunities
• Exposure to advanced healthcare operations and RCM practices
• Interested candidates may apply by sending their updated CV along with relevant certifications and experience details.
• Pay: AED6,000.00 - AED10,000.00 per month