Healthcare Insurance Claims Officer

Amana Healthcare; Abu Dhabi; Vor Ort; AED 90.000 - 130.000; Vollzeit

Zusammenfassung

Amana Healthcare in Abu Dhabi is seeking an Officer, Insurance Service to support the finance and insurance teams with claims processing, authorizations, submissions and resubmissions. You will verify eligibility, monitor balances, and ensure timely reimbursements in line with UAE guidelines.

Responsibilities include reviewing claims for accuracy, handling denials, and preparing reports to aid performance monitoring.

Qualifikationen

• Bachelor’s degree in Finance, Accounting, Business Administration, Healthcare Administration, or a related field.
• 0-2 years of relevant healthcare insurance, billing, finance, revenue cycle, or related experience.
• Working knowledge of UAE health insurance practices and revenue cycle management.
• Basic understanding of medical coding, claims processing, preauthorization, and insurance reimbursement procedures.
• Strong analytical, problem-solving, communication, and Microsoft Office skills; English required; Arabic an advantage.

Aufgaben

• Ensure accurate processing, submission, and resubmission of insurance and corporate claims according to terms and guidelines.
• Coordinate insurance verification, eligibility, benefits, and preauthorization activities for patients and staff.
• Review claims for completeness and compliance, resolve issues with billing, utilization, and clinical teams.
• Support revenue cycle by monitoring balances, tracking payer payments, and following up on denials.
• Maintain records of claims, payer correspondence, approvals, and payment follow-up activities.
• Analyze adjustments and denials, prepare reports to support performance monitoring and decisions.
• Communicate policies and procedures to staff and contribute to guideline development and improvements.
• Maintain compliance with confidentiality, privacy, security, and professional standards.

Kenntnisse

Analytical thinking

Problem-solving

Communication skills

MS Office proficiency

English language

Arabic language (advantage)

Ausbildung

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

Tools

Microsoft Office

Jobbeschreibung

Amana Healthcare in Abu Dhabi is seeking an Officer, Insurance Service to support the finance and insurance teams with claims processing, authorizations, submissions and resubmissions. You will verify eligibility, monitor balances, and ensure timely reimbursements in line with UAE guidelines.

Responsibilities include reviewing claims for accuracy, handling denials, and preparing reports to aid performance monitoring.