Health & Dental Claims Analyst: Precision & Compliance

Info Resume Edge; Sharjah; On-site; AED 80,000 - 100,000; Full time

Job summary

A healthcare insurance firm in Sharjah is seeking a Health and Dental Claims Analyst to review and process health and dental insurance claims. The ideal candidate will have at least 5 years of experience in claims processing, strong analytical skills, and knowledge of healthcare regulations including HIPAA. Responsibilities include verifying claim accuracy, communicating with providers, and maintaining documentation. This role offers competitive compensation in a collaborative environment.

Qualifications

• 5+ years of experience in claims processing, health insurance, or dental benefits.
• Knowledge of ICD-10, CPT, ADA codes, and healthcare reimbursement systems.
• Familiarity with healthcare regulations such as HIPAA.

Responsibilities

• Review and analyze incoming health and dental claims for accuracy and eligibility.
• Ensure claims comply with policy coverage, terms, and regulatory standards.
• Investigate and resolve discrepancies or inconsistencies in submitted claims.
• Apply appropriate fee schedules, adjudication rules, and coding practices.
• Communicate with healthcare providers and policyholders as needed.

Skills

Analytical skills

Attention to detail

Communication skills

Education

Bachelor's degree in Healthcare Administration, Business, or a related field

Tools

Claims adjudication systems

Microsoft Office tools

Job description

A healthcare insurance firm in Sharjah is seeking a Health and Dental Claims Analyst to review and process health and dental insurance claims. The ideal candidate will have at least 5 years of experience in claims processing, strong analytical skills, and knowledge of healthcare regulations including HIPAA. Responsibilities include verifying claim accuracy, communicating with providers, and maintaining documentation. This role offers competitive compensation in a collaborative environment.