RCM Team Lead: Denials, Re submission & Reconciliation

Uae Job Alert; Dubai; On-site; AED 180,000 - 240,000; Full time

Job summary

Al-Futtaim Health in Dubai is seeking a Team Lead – Resubmission & Reconciliation to oversee the claim resubmission lifecycle, analyze payer payment behavior, and lead reconciliations with insurers and TPAs in line with DHA standards.

The role requires 4+ years in resubmission/RCM supervisory roles, with CPC/CCS or equivalent certifications, and strong negotiation and clinical analysis skills. This is a full-time on-site position based in Dubai.

Qualifications

• Minimum 4+ years in resubmission, insurance reconciliation, or RCM supervisory role.
• CPC / CCS or equivalent certification; medical or paramedical degree.
• Familiarity with UAE health insurance frameworks, DHA guidelines.
• Strong clinical background and payer negotiation skills.

Responsibilities

• Denial & Resubmission Management: supervise timely resubmission of IP, OP, and Pharmacy claims with medical justifications.
• Clinical Collaboration: coordinate with physicians and CDI specialists for complex rejections.
• Process Optimization: eliminate technical denials and implement validation rules.
• Insurance Reconciliation: lead quarterly and annual sign-offs with insurers and TPAs.
• Team Leadership & KPI Monitoring: ensure TAT, quality, and productivity targets.
• Reporting & Compliance: report denial trends to the Head of Department.

Skills

Payer negotiation

Financial data analysis

Team supervision

Clinical background

Education

CPC/CCS Certification

Medical or Paramedical certification/degree

Job description

Al-Futtaim Health in Dubai is seeking a Team Lead – Resubmission & Reconciliation to oversee the claim resubmission lifecycle, analyze payer payment behavior, and lead reconciliations with insurers and TPAs in line with DHA standards.

The role requires 4+ years in resubmission/RCM supervisory roles, with CPC/CCS or equivalent certifications, and strong negotiation and clinical analysis skills. This is a full-time on-site position based in Dubai.