Revenue Integrity & Denials Specialist

Sheikh Shakhbout Medical City - SSMC; Abu Dhabi; On-site; AED 220,345 - 330,517; Full time

Job summary

Sheikh Shakhbout Medical City - SSMC in Abu Dhabi seeks a qualified candidate for the role responsible for identifying and mitigating healthcare revenue denials. The position involves monitoring compliance with regulations, preparing patient claims, and managing denial communications. The ideal candidate needs extensive experience in the healthcare revenue cycle, strong knowledge of medical coding, and a suitable educational background such as a bachelor's degree or relevant certifications. This role offers an opportunity to improve processes and contribute to financial operations.

Qualifications

• 5+ years of experience in healthcare customer service, claims, denials, or compliance.
• Strong understanding of CPT, ICD-9 and ICD-10 coding.
• Extensive knowledge of third-party payer reimbursement and eligibility verification.

Responsibilities

• Monitor compliance with insurance companies and DOH guidelines.
• Prepare submissions for patient invoices electronically.
• Organize and communicate clinical claim denials with internal staff and insurers.

Skills

Healthcare revenue cycle systems

Customer service

Claims management

Compliance rules

Medical coding terminology

Education

Bachelor in Accounting/Finance/Commerce or relevant field

Clinical Coding Certification

Master's in Business Administration or Healthcare preferred

Job description

Sheikh Shakhbout Medical City - SSMC in Abu Dhabi seeks a qualified candidate for the role responsible for identifying and mitigating healthcare revenue denials. The position involves monitoring compliance with regulations, preparing patient claims, and managing denial communications. The ideal candidate needs extensive experience in the healthcare revenue cycle, strong knowledge of medical coding, and a suitable educational background such as a bachelor's degree or relevant certifications. This role offers an opportunity to improve processes and contribute to financial operations.