Claims Submission Specialist - Medical Billing & Denials

Al-Futtaim; Dubai; On-site; AED 134,000 - 201,000; Full time

Job summary

Al-Futtaim is seeking a Claims Analyst to manage timely submissions of IP, OP and Pharmacy claims across multiple insurers in Dubai. The role requires strong medical knowledge, attention to detail and adherence to DHA regulations.

You will collaborate with CDI, coding and preauthorization teams, interact with physicians for clinical justification, and drive process improvements to minimize denials and protect revenue.

Qualifications

• Strong medical background with familiarity in healthcare reimbursement.
• Knowledge of DHA regulations and insurance claim processes.
• Ability to coordinate with physicians, CDI, coding, and approvals teams.
• Excellent communication and negotiation abilities.

Responsibilities

• Ensure timely submissions of IP, OP and Pharmacy claims with medical and technical justification.
• Follow up on QMS with branches and coordinate with physicians on clinical justification.
• Work with insurance approvals and claims re-submission teams to minimize denials.
• Monitor KPIs and educate teams to improve submission efficiency.
• Maintain accurate monthly claims submission data across insurers.
• Coordinate with CDI and other stakeholders to reduce financial risk.

Skills

Medical background

Negotiation skills

Soft skills

Presentation skills

Analytical skills

Job description

Al-Futtaim is seeking a Claims Analyst to manage timely submissions of IP, OP and Pharmacy claims across multiple insurers in Dubai. The role requires strong medical knowledge, attention to detail and adherence to DHA regulations.

You will collaborate with CDI, coding and preauthorization teams, interact with physicians for clinical justification, and drive process improvements to minimize denials and protect revenue.