Revenue Cycle Management Coordinator

Overview

Revenue Cycle Management (Rcm) Coordinator

Pre-Authorization, Claims Operations, and Payer Relations

Pre-Authorization

• Secure insurance approvals within defined turnaround times (OP: 24 hours; IP: 24–48 hours)
• Submit approval requests promptly and escalate delays
• Prepare cost estimates for insured and self-paying patients
• Maintain approval trackers and insurance master data
• Support training and provide updates on insurance policies
• Ensure effective communication with clinics and stakeholders

Claims Operations

• Manage timely and accurate claim submissions across hospital facilities
• Oversee electronic billing processes and XML file generation
• Ensure high-quality claim dispatch to reduce rejections
• Identify coding or tariff discrepancies and escalate accordingly
• Review claims for completeness and resolve submission issues
• Prepare reports and monitor claim submission performance
• Support onboarding and training of new team members

Payer Relation

• Assist in payer onboarding, credentialing, and network management
• Maintain insurance network records and contract documentation
• Support tariff updates and maintain pricing repositories
• Act as a liaison between internal teams and insurance partners
• Track contract renewals and payer communications
• Prepare reports and maintain dashboards for management review

Quality, Safety & Compliance

• Adhere to JCIA standards, hospital policies, and regulatory requirements
• Maintain accurate documentation and data confidentiality
• Participate in audits, training, and quality improvement initiatives
• Ensure compliance with safety, infection control, and cybersecurity policies
• Uphold ethical standards and patient-centered care principles

Qualifications & Experience

• Bachelor’s degree in any discipline (Healthcare-related field preferred)
• Medical Coding Certification (CPC) is an advantage
• Min
• imum 2 years of UAE exper
• ience in Pre-Authorization, Claims, or Payer Relations

Skills & Competencies

• Strong knowledge of medical terminology and healthcare processes
• Excellent communication and stakeholder management skills
• Proficiency in MS Office and healthcare systems
• High attention to detail and ability to manage multiple priorities
• Problem-solving mindset with strong organizational skills
• Ability to work in a fast-paced, dynamic environment
• High level of professionalism, integrity, and confidentiality