Billing & Insurance Coordinator - Dubai
10 hours ago
Job description
Insurance Verification & Pre-Authorization
Verify patient insurance eligibility, coverage limits, exclusions, and co-pay requirements prior to appointments.
- Obtain and track pre-authorizations for consultations, diagnostic services, imaging, laboratory tests, and procedures.
- Coordinate with clinicians to ensure required medical documentation supports authorization requests.
Communicate approvals, denials, and coverage details to patients and internal teams.
Claims Submission & Processing
Prepare, review, and submit accurate insurance claims in compliance with UAE payer requirements and coding standards.
- Ensure correct CPT/ICD coding coordination with clinical and medical records teams.
- Monitor claim status, follow up on pending claims, and resolve rejected or denied claims promptly.
Maintain accurate documentation of submissions, resubmissions, and appeals.
Patient Billing & Collections
Generate patient invoices for co-payments, deductibles, and uncovered services.
- Provide clear explanations of charges and payment responsibilities to patients.
- Process payments and maintain accurate financial records.
Support collections follow-up in a professional and patient-centered manner.
Revenue Cycle & Reconciliation
Reconcile daily billing reports with EMR and finance records.
- Coordinate with the finance department on revenue reporting and discrepancies.
- Track KPIs related to claims acceptance rates, denials, and turnaround times.
Identify opportunities to improve billing efficiency and reduce revenue leakage.
Compliance & Regulatory Adherence
Ensure compliance with DHA regulations, insurance policies, and UAE healthcare billing standards.
- Maintain confidentiality of patient financial and medical information.
Support internal audits and insurance audits when required.
Collaboration & Patient Experience
Work closely with physicians, nurses, radiology, laboratory, and front desk teams to ensure seamless workflow.
- Support transparent communication with patients regarding coverage, approvals, and financial obligations.
- Contribute to continuous improvement of administrative and operational processes.
Desired Candidate Profile
Required:
- Bachelor s degree or diploma in Healthcare Administration, Finance, Medical Coding, or related field.
- Minimum 2 4 years of experience in healthcare billing and insurance coordination in the UAE.
- Strong understanding of UAE insurance providers, claim submission systems, and DHA billing regulations.
- Familiarity with ICD and CPT coding standards.
- Experience using EMR systems and insurance portals.
Preferred:
- Experience in specialty clinics (endocrinology, diabetes, metabolic health, cardiology).
- Knowledge of value-based care or integrated care models.
- Experience handling high-volume insurance coordination.
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