Coder-Reconciliation Officer

Kanad Hospital; United Arab Emirates; Presencial; AED 120 000 - 160 000; Tempo integral

Resumo da oferta

Kanad Hospital is seeking an experienced revenue cycle analyst to ensure all claims are fully reconciled against remittance advice and bank records. You will post payments, adjustments, and write-offs, and identify variances requiring investigation.

You will also monitor payer submissions, manage AR aging, and support audits by providing complete documentation and audit trails. This role demands accuracy under high-volume processing and collaboration with payer relations teams.

Qualificações

• 3–5 years revenue cycle experience in UAE healthcare.
• Working knowledge of DOH/Shafafiya submission and remittance standards.
• Experience with Daman, Thiqa and major TPAs (NAS, NextCare, Neuron, Mednet).
• Advanced Excel: pivot tables, lookups and reconciliation workbooks.
• Proficiency with hospital information/billing systems.

Responsabilidades

• Validate payer remittance advice against submitted claims in the HIS billing system.
• Post payments, contractual adjustments, patient shares and write-offs with correct codes.
• Reconcile bank credits to payer remittances and clear unapplied cash monthly.
• Identify short-payments and contract-rate variances with evidence for Finance.
• Track missing remittances and follow up with payer relations until closed.
• Monitor resubmission and appeal windows and hand over eligible claims to denial team.
• Maintain AR aging by payer and service line; produce monthly reconciliation pack.
• Provide feedback to front-end teams to prevent recurrence; support audits.

Conhecimentos

Analytical skills

Attention to detail

Stakeholder communication

Integrity & confidentiality

Ownership & closure

Formação académica

Bachelor's degree in related field

Ferramentas

Advanced Excel

HIS / Billing system

Descrição da oferta de emprego

Ensure that every claim submitted by Kanad Hospital is fully accounted for paid short-paid denied or pending and that cash received reconciles accurately to payer remittance advice and to the bank The role exists to make revenue visible to convert identified variances into recovered cash and to guarantee that no collectable revenue is lost to timely-filing expiry

Essential Job functions and Key Accountabilities

• Validate payer remittance advice XML RA from Shafafiya and TPA portals against submitted claims in the HIS billing system
• Post payments contractual adjustments patient shares and approved write-offs using correct and consistent reason codes
• Reconcile bank credits to payer remittances investigate and clear unapplied and unidentified cash within the month of receipt
• Identify short-payments and contract-rate variances quantify log and escape each to the Finance Team with complete supporting evidence
• Track missing remittances and unacknowledged submissions following up with payer relations until each item is closed
• Monitor resubmission and appeal windows handing eligible claims to the denial management team before the window expires
• Maintain accounts receivable aging by payer aging bucket and service line produce the monthly reconciliation and collection pack
• Feed root-cause data authorisation eligibility coding and documentation failures back to front-end teams to prevent recurrence
• Support RCM external audits with extraction of relevant medical records and a complete claim audit trail
• Support internal and external audits with reconciled ledgers and a complete audit trail

Competency StandardsTechnical Competencies

• Analytical rigour reconciles to the dirham and investigates variances rather than writing them off
• Attention to detail under volume pressure accuracy is not traded for speed
• Evidence-based communication with payers and internal stakeholders
• Integrity and confidentiality in handling patient financial and clinical information
• Ownership pursues open items to closure without prompting

Bachelor s degree in Commerce, Accounting, Healthcare Administration or a related discipline. Minimum 3-5 years revenue cycle experience within a UAE healthcare provider. Working knowledge of DOH / Shafafiya submission and remittance standards. Demonstrated experience with Daman, Thiqa and the major TPAs NAS, NextCare, Neuron and Mednet. Advanced Excel: pivot tables, lookup functions and reconciliation workbooks. Proficiency in a hospital information / billing system.