Senior Officer, Insurance Services

Role overview

About the organization

Responsibilities

• Process insurance and corporate claims accurately in accordance with contractual agreements and reimbursement requirements.
• Coordinate insurance eligibility verification, payment approvals, and reconciliation; support insurance verification, eligibility, and preauthorization queries.
• Ensure timely entry of insurance information and benefits, and verify claims against billing guidelines.
• Coordinate updates and training on insurance and billing guidelines with doctors, senior officers, and front-line staff.
• Track payments, monitor receivables, reconcile remittance advice, and maintain claims correspondence records.
• Participate in training and development of new staff and provide guidance.
• Assist with internal and external audits and contribute to insurance guidelines, frameworks, and processes.
• Analyze claim adjustments, bad debt provisions, and contractual allowances.
• Coordinate the claims process between billing clerks and utilization nurses.
• Manage a collection desk for outstanding balances in the revenue cycle.
• Develop claim reports for analysis and performance measurement.

Qualifications

• Bachelor’s degree in Finance, Accounting, Business Administration, or a related field.
• 4–5 years of career experience.
• Experience in finance, accounting, or insurance within a healthcare facility.
• Familiarity with UAE insurance practices.