Dubai Medical Claims Specialist - Billing & Denials Expert

AlFuttaim; Dubai; Vor Ort; AED 180.000 - 280.000; Vollzeit

Zusammenfassung

Al-Futtaim Health in Dubai is seeking an experienced Medical Claims Submission Specialist to support insurance submissions and revenue cycle management across its UAE operations. The role focuses on accurate inpatient, outpatient, and pharmacy claims and reducing denials.

The successful candidate will work with physicians, coders, and insurers to resolve documentation issues, monitor payer performance, and drive improvements in claims submission quality and efficiency.

Qualifikationen

• Minimum 3 years of experience in medical claims processing.
• Professional medical coding certification.
• Experience managing healthcare insurance claims in regulated environments.

Aufgaben

• Ensure timely submission of inpatient, outpatient, and pharmacy insurance claims.
• Verify claims with medical and technical justifications.
• Minimize initial claim denials through quality review.
• Coordinate with physicians, coders, and approvals to resolve issues.
• Monitor payer performance and revenue cycle data.
• Assist with complex claims requiring specialist knowledge.

Kenntnisse

Medical coding

Claims submission

Revenue cycle management

Denial prevention

Stakeholder coordination

Ausbildung

Medical coding certification

Medical/paramedical certification

Jobbeschreibung

Al-Futtaim Health in Dubai is seeking an experienced Medical Claims Submission Specialist to support insurance submissions and revenue cycle management across its UAE operations. The role focuses on accurate inpatient, outpatient, and pharmacy claims and reducing denials.

The successful candidate will work with physicians, coders, and insurers to resolve documentation issues, monitor payer performance, and drive improvements in claims submission quality and efficiency.