Denial Management Officer-STMC-Patient Financial Services

SEHA; Abu Dhabi; On-site; AED 60,000 - 120,000; Full time

Job summary

A healthcare provider in Abu Dhabi is seeking a candidate responsible for the identification and prevention of denials. The role involves overseeing revenue cycle denial operations and improving processes related to coding and billing. Applicants should have strong analytical skills and the ability to monitor UAE regulatory changes relevant to denial management.

Qualifications

• Ability to identify and mitigate denials effectively.
• Experience in clinical disputes based on medical records.
• Strong analytical skills in monitoring regulatory changes.

Responsibilities

• Oversee day-to-day revenue cycle denial operations.
• Conduct analysis of denials and present process improvements.
• Monitor UAE regulatory agencies for updates.

Job description

The candidate is responsible for the identification, mitigation, and prevention of denials. This position is responsible for preparing clinical disputes based upon evidence base criteria documented within the respective medical record; the Specialist oversees and assists with day-to-day revenue cycle denial operations and supports process improvement initiatives for coding, billing, and collections activities associated with Denial Prevention. The candidate will conduct an analysis of denials and appeals, identifying and presenting both process improvements and revenue protection opportunities. The position will monitor UAE regulatory agencies to maintain up-to-date knowledge of changing rules and regulations affecting denial prevention and management practice. Additionally, will stay abreast of payer clinical policies to dispute denials and provide education for the prevention of denials.