Team Lead - Claims and Collection

King’s College Hospital London, Dubai; Dubai; On-site; AED 120,000 - 200,000; Full time

Job summary

A leading international healthcare provider in Dubai is seeking a Team Leader for Claims & Collections. This role involves supervising teams to ensure accurate claims processing and timely billing, alongside vendor oversight and performance monitoring. Candidates should possess strong leadership skills and at least 3 years of relevant experience in claims processing or as a team lead. A graduate degree in any discipline is required, along with a commitment to improving revenue cycle efficiency.

Qualifications

• Minimum 3 years’ experience as a Coordinator, Supervisor or Team lead role preferred.
• Minimum 3 years’ experience as Claims Processor or similar role with potential to lead the Team.

Responsibilities

• Supervise claims submission and collections activities.
• Lead end-to-end claim submission and electronic billing processes.
• Monitor revenue cycle KPIs and vendor performance.
• Coordinate with clinical and non-clinical departments.

Skills

Leadership

Claims processing

Vendor management

Data analysis

Team supervision

Education

Graduate in any discipline

Job description

The Team Leader – Claims & Collections is responsible for leading and supervising claims submission and collections activities to ensure timely billing, accurate claim processing, optimal cash flow, and achievement of revenue cycle KPIs. The role involves team supervision, vendor oversight, payer coordination, claims quality control, and close collaboration with clinical and non‑clinical departments to minimise rejections and delays.

Key Accountabilities

• Supervise, guide, and support the claims and collections team to ensure efficient day‑to‑day operations.
• Allocate work, monitor productivity, and ensure adherence to internal processes and turnaround times.
• Provide ongoing coaching, performance feedback, and issue resolution within the team.

Claim Submission and Billing Operations

• Lead end‑to‑end claim submission and electronic billing processes, ensuring timely dispatch of physical and electronic claims.
• Review insurance claims and supporting documents daily to ensure completeness, accuracy, and compliance with payer requirements.

Performance and Vendor Management

• Monitor and achieve Days Sales Outstanding (DSO) and other revenue cycle KPIs as defined by the organization.
• Oversee and audit claim submission and billing vendors, reviewing performance, accuracy, and turnaround times.

Coding and Tariff Integrity

• Identify discrepancies or errors in CPT, HCPCS, ICD coding, and approved tariffs during claim review.
• Escalate coding, pricing, or tariff issues to Manager – RCM Operations and coordinate with coding or clinical teams as required.

Collections and Cash Application

• Ensure timely follow‑up and collection of outstanding claims.
• Oversee accurate allocation and posting of payments, adjustments, and denials.
• Monitor ageing reports and take corrective action to minimise overdue receivables.

Analytics and Payer Support

• Support the RCM Director with claims data analysis, trend reports, and performance insights.
• Assist in preparing data for payer negotiations, audits, and dispute discussions.

Cross‑Functional Coordination

• Coordinate closely with laboratory, pharmacy, clinical departments, front office, and hospital branches to ensure smooth revenue cycle workflows.

JCIA‑Aligned Safety, Quality, Governance and Professional Standards

• Support sustainability and Global Health Impact (GHI) goals by practising environmentally responsible behaviour, reducing waste, following proper disposal and segregation processes, using resources efficiently, participating in related training, and reporting opportunities for improvement.
• Follow all safety, quality, infection‑control awareness and risk‑management procedures; report safety events and near misses; participate in workplace violence‑prevention training; and elevate concerns using approved communication tools such as Situation–Background–Assessment–Recommendation (SBAR).

Education & Qualification

• Graduate in any discipline.

Experience

• Minimum 3 years’ experience as a Coordinator, Supervisor or Team lead role preferred in the similar role.
• Minimum of 3 years’ experience as Claims Processor or similar role with potential to lead the Team.

Training, Knowledge & Skills

• Demonstrates leadership skills by guiding, supporting, and managing the team, including overseeing team performance evaluations to ensure effective collaboration, accountability, and professional growth.