Manager, Coding - Radiology
Medsuite Inc
Insurance Coordinator
GluCare Health
full-time
Posted on:
Origin: • 🇦🇪 United Arab Emirates
Visit company websiteJob Level
JuniorMid-Level
About the role
- Manage insurance processes including pre-approvals, claims submissions, resubmissions, and reconciliations
- Ensure all required pre-approvals for treatments and procedures are obtained from insurance providers in a timely manner
- Prepare and submit insurance claims in compliance with payer policies and regulations, ensuring accuracy and completeness
- Handle rejected or denied claims by identifying errors or missing information and resubmitting or appealing claims as necessary
- Generate accurate invoices for patients and insurance companies, ensuring alignment with policy coverage and patient treatment plans
- Check and verify patient insurance coverage and eligibility before services are provided
- Work with the finance department to reconcile patient accounts, ensure payments are posted correctly, and identify outstanding balances
- Provide clear communication and support to patients regarding insurance coverage, claims status, and financial obligations
- Keep detailed and organized records of all insurance-related documents, claims submissions, payments, and correspondence
- Maintain strong working relationships with insurance companies to resolve issues related to claims or approvals
- Ensure compliance with DHA regulations and other relevant UAE healthcare insurance standards
- Provide regular reports on claim submissions, approvals, denials, and reimbursements to management
- Understand, follow and support all hospital infection control programs
- Work closely with healthcare providers, patients, and insurance companies to ensure smooth processing of claims and maximize revenue recovery.
Requirements
- A Bachelor's degree in healthcare administration, business administration, or a related field is preferred.
- Certified Professional Coder (CPC) Certified
- Minimum of 2 years of experience in medical insurance coordination, claims processing, or healthcare billing within a healthcare facility or insurance company.
- Experience in an endocrinology clinic will be an added advantage
- Familiarity with UAE healthcare insurance regulations, insurance provider policies, and DHA standards.
- In-depth knowledge of coding systems such as ICD-10 and CPT codes is highly desirable.
- Strong expertise in approvals, invoicing, submissions and resubmissions, Eclaimlink and DHA regulations
- Solid understanding of medical terminology and clinical justifications
- Excellent communication skills, both verbal and written, to interact with insurance companies, patients, and healthcare providers.
- Proficiency in healthcare billing software and systems.
- Ability to analyze, prioritize, and solve issues related to insurance claims and denials.
- Time management skills to handle multiple tasks and meet deadlines.
- Language: Fluency in English is required. Proficiency in Arabic is an advantage.
