Revenue Cycle Specialist — Insurance & Claims

Kingscollegehospitaldubai; Dubai; On-site; AED 134,000 - 201,000; Full time

Job summary

Kings College Hospital Dubai is seeking an experienced Pre-Authorization and Insurance Operations Specialist to join our Revenue Cycle Management team. You will coordinate with insurance providers, prepare cost estimates, and manage approvals for outpatient and inpatient services across Dubai campuses.

The role focuses on timely submissions, tracking, data integrity, training internal staff, and close collaboration with clinical teams to ensure efficient claim submission and payer relations in a

Responsibilities

• Facilitate securing service approvals from patients’ insurance companies
• Ensure approvals meet turnaround times (outpatient within 24 hours; inpatient within 24–48 hours)
• Send all approval requests on the same day
• Escalate cases that exceed turnaround time to the Pre-Authorization Supervisor
• Review and release all approvals to the respective clinic
• Prepare cost estimates for insurance and cash patients
• Maintain an up-to-date Approval Request Tracker
• Maintain an updated Insurance Master
• Assist in delivering training on insurance policies to internal stakeholders
• Support updates on insurance policies and procedures to internal stakeholders
• Report issues or discrepancies to the Pre-Authorization Team Lead
• Complete tasks in coordination with the supervisor and adapt to shifts/public holidays
• Lead electronic billing and payroll dispatch; ensure timely dispatch of invoices
• Coordinate with insurance companies on electronic billing and submission
• Identify discrepancies in CPT/HCPCS/tariffs and elevate
• Review daily insurance claim forms for completeness
• Prepare weekly reports on under-dispatch for outpatient and pharmacy
• Coordinate with lab, pharmacy, front office, and hospital branches
• Train and onboard new claims staff for outpatient submission
• Maintain payer network matrix and participate in credentialing processes
• Track contract status, renewals, and network approvals with payers

Job description

Kings College Hospital Dubai is seeking an experienced Pre-Authorization and Insurance Operations Specialist to join our Revenue Cycle Management team. You will coordinate with insurance providers, prepare cost estimates, and manage approvals for outpatient and inpatient services across Dubai campuses.

The role focuses on timely submissions, tracking, data integrity, training internal staff, and close collaboration with clinical teams to ensure efficient claim submission and payer relations in a