Qureos Mentor

Dynamic

Full Job description: We are seeking a highly motivated and experienced Insurance Manager to lead our insurance sales team and drive growth within our organization.Key Responsibilities1. Insurance Operations Management<ul><li>Manage end-to-end insurance processes including eligibility checks, prior authorizations, claims submissions, and reconciliations.</li><li>Ensure timely and accurate submission of insurance claims via DHA/DOH/MOHAP e-claim systems.</li><li>Minimize claim rejections and denials by monitoring accuracy and compliance.</li></ul>2. Contracting &amp; Provider Network Relations<ul><li>Negotiate and manage contracts with insurance companies and TPAs.</li><li>Maintain relationships with key insurance providers to secure favorable terms and ensure smooth operations.</li><li>Monitor contract renewals, tariff agreements, and payment schedules.</li></ul>3. Compliance &amp; Regulatory Alignment<ul><li>Ensure compliance with UAE health authorities&rsquo; rules (DHA, DOH, MOHAP) and insurance regulatory frameworks.</li><li>Implement policies for coding standards (ICD-10, CPT, DRG where applicable).</li><li>Maintain confidentiality and ethical standards in handling patient insurance data.</li></ul>4. Revenue Cycle &amp; Reporting<ul><li>Monitor accounts receivable and insurance payment cycles.</li><li>Conduct regular audits of insurance claims and denials.</li><li>Generate management reports on claim performance, outstanding payments, and insurance KPIs.</li></ul>5. Team Leadership &amp; Training<ul><li>Supervise insurance coordinators/billing staff.</li><li>Conduct training sessions on coding, claim submissions, and new insurance policies.</li><li>Foster a culture of accuracy and accountability in insurance-related workflows.</li></ul>Qualifications &amp; Requirements<ul><li>Bachelor&rsquo;s degree in Healthcare Management, Business Administration, Finance, or related field (mandatory).</li><li>Certification in Medical Coding (CPC, ICD-10, CPT, or equivalent) preferred.</li><li>Master&rsquo;s degree (MBA, Healthcare Management) is an added advantage.</li><li>5&ndash;7 years of experience in medical billing/insurance in the UAE healthcare sector.</li><li>At least 2&ndash;3 years in a managerial or supervisory role within a medical centre, hospital, or TPA.</li><li>Strong background in UAE insurance systems (eClaimLink, DHPO, Shafafiya for Abu Dhabi, etc.).</li></ul>Skills<ul><li>In-depth knowledge of UAE healthcare insurance regulations and claim processes.</li><li>Strong negotiation and contract management skills.</li><li>Excellent leadership, communication, and interpersonal skills.</li><li>Proficiency in medical coding systems (ICD-10, CPT).</li><li>Strong analytical and problem-solving ability with a focus on reducing claim denials.</li><li>Advanced MS Excel and ERP/EMR system knowledge (e.g., Cerner, Epic, or local systems integrated with DHA/DOH portals).</li></ul>Job Type: Full-timePay: Up to AED10,000.00 per month

Insurance Manager

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Dynamic

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Insurance Manager