Dubai-Based Healthcare Claims Resubmission Specialist

AlFuttaim; Dubai; On-site; AED 100,000 - 145,000; Full time

Job summary

Al-Futtaim Health in Dubai is seeking an experienced Insurance Claims Specialist - Resubmission to manage rejected inpatient, outpatient, and pharmacy claims, ensuring accurate resubmission, and strengthening payer communication.

You will analyze denials, collect medical justification, collaborate with clinical and billing teams, and help reduce revenue leakage while meeting DHA requirements and performance targets.

Qualifications

• Minimum 3 years in healthcare claims resubmission, insurance reconciliation, denial management, medical coding, or a closely related revenue cycle role.
• Strong understanding of DHA regulations and medical documentation requirements.
• Experience communicating with insurance companies and resolving disputed claims.

Responsibilities

• Review rejected inpatient, outpatient, and pharmacy claims and determine eligibility for resubmission.
• Submit corrected claims within required timelines with medical justification.
• Escalate unusual denial patterns or payer-related issues to the Insurance Manager for review.
• Coordinate with Insurance Approvals and Claims Submission teams to reduce avoidable denials.
• Maintain resubmission KPIs and monitor turnaround time, quality, and productivity targets.

Skills

Healthcare claims resubmission

Insurance claims management

Claims reconciliation

Medical coding

Professional coding certification

Inpatient claims

Outpatient claims

Pharmacy claims

Denial analysis

Payer communication

Revenue cycle management

Clinical documentation improvement

QMS follow-up

Education

Certified medical coder / Medical coding certification

Tools

Healthcare billing software

Payer portals

EHR/EMR systems

Job description

Al-Futtaim Health in Dubai is seeking an experienced Insurance Claims Specialist - Resubmission to manage rejected inpatient, outpatient, and pharmacy claims, ensuring accurate resubmission, and strengthening payer communication.

You will analyze denials, collect medical justification, collaborate with clinical and billing teams, and help reduce revenue leakage while meeting DHA requirements and performance targets.