Healthcare Claims Excellence Specialist

ACCA Careers; Dubai; On-site; AED 60,000 - 90,000; Full time

Job summary

Al-Futtaim Health is seeking a detail-oriented claims specialist with a strong medical background to manage and optimize the revenue cycle. The role emphasizes timely, compliant submissions, clinician collaboration for clinical justification, and proactive coordination with preauthorization, coding, and approvals teams to minimize denials.

You will work closely with physicians and insurers to ensure accurate documentation.

Qualifications

• Must have a strong medical background and ability to reconcile submissions effectively.
• Excellent negotiation and communication skills are required.
• Demonstrated soft skills and stakeholder management abilities are essential.

Responsibilities

• Ensure timely submissions of claims with proper medical and technical justification.
• Follow up on QMS with concerned branches.
• Interact with physicians for clinical justification of claims.
• Coordinate with approvals, coding, and IT support for complex cases.
• Minimize denials by working with insurance and submission teams.
• Ensure submissions comply with Insurance industry and DHA regulations.

Skills

Strong medical background

Negotiation skills

Soft skills

Education

Certified professional coding certificate

Certified medical /paramedical certificate

Job description

Al-Futtaim Health is seeking a detail-oriented claims specialist with a strong medical background to manage and optimize the revenue cycle. The role emphasizes timely, compliant submissions, clinician collaboration for clinical justification, and proactive coordination with preauthorization, coding, and approvals teams to minimize denials.

You will work closely with physicians and insurers to ensure accurate documentation.