Senior Revenue Cycle Manager: Claims Denials & Recovery

AlFuttaim; Dubai; On-site; AED 167,000 - 246,000; Full time

Job summary

Al-Futtaim Health in Dubai is seeking a Revenue Cycle Manager - Claims Resubmission to optimize healthcare revenue by overseeing resubmission of inpatient, outpatient, and pharmacy claims, ensuring proper medical justification and timely submissions across payer timelines.

The ideal candidate has at least four years of experience in claims resubmission or denial management, a professional coding certification, and a strong medical background to interpret documentation and negotiate

Qualifications

• Minimum 4 years of experience in healthcare claims resubmission or denial management.
• Professional coding certification required.
• Strong medical background to interpret clinical documentation and negotiate with payers.

Responsibilities

• Manage timely resubmission of eligible inpatient, outpatient, and pharmacy claims.
• Review rejected claims to identify medical, technical, documentation, authorization, coding, or payer issues.
• Obtain appropriate clinical justification from physicians for rejected claims requiring additional medical evidence.
• Strengthen resubmission quality to improve recovery rates and reduce denials.
• Coordinate with Insurance Approvals and Claims Submission teams to identify preventable causes of rejected claims.
• Ensure resubmissions comply with DHA regulations and industry procedures.
• Track KPIs, turnaround times, productivity, and recovery performance across the team.
• Provide coaching to strengthen denial-management capabilities.

Skills

Revenue cycle management

Claims resubmission

Insurance denial management

Medical coding

Payer reconciliation

DHA regulations

Clinical documentation improvement

Team supervision

Education

Professional coding certification

Certified medical/paramedical qualification

Job description

Al-Futtaim Health in Dubai is seeking a Revenue Cycle Manager - Claims Resubmission to optimize healthcare revenue by overseeing resubmission of inpatient, outpatient, and pharmacy claims, ensuring proper medical justification and timely submissions across payer timelines.

The ideal candidate has at least four years of experience in claims resubmission or denial management, a professional coding certification, and a strong medical background to interpret documentation and negotiate