Job Summary
We are seeking an experienced Clinic Billing and Insurance Officer with a minimum of 2 years of UAE healthcare experience to manage billing operations, insurance claims processing, and revenue cycle activities. The ideal candidate must be familiar with UAE insurance regulations and submission systems, ensuring accurate and timely claim processing in compliance with local healthcare authorities.
Key Responsibilities
Insurance & Claims Management
- Verify patient insurance eligibility and benefits before treatment.
- Obtain pre-authorizations and approvals from insurance providers.
- Prepare and submit insurance claims through approved UAE portals (e.g., eClaim/DHA systems).
- Follow up on pending, rejected, or partially paid claims.
- Resubmit corrected claims in a timely manner.
- Coordinate with insurance companies and third-party administrators (TPAs) for claim resolution.
Billing & Revenue Cycle
- Generate accurate patient invoices (insurance and self-pay).
- Post payments received from insurance companies and patients.
- Reconcile daily collections and maintain proper financial records.
- Prepare insurance aging reports and follow up on outstanding balances.
- Ensure compliance with clinic billing policies and UAE healthcare regulations.
Regulatory Compliance
- Ensure all billing and claims activities comply with guidelines set by the Dubai Health Authority (DHA).
- Maintain confidentiality of patient records in line with UAE data protection standards.
- Assist in internal and external insurance audits.
Patient & Administrative Support
- Respond to patient inquiries regarding billing and insurance coverage.
- Provide clarification on co-payments, deductibles, and claim statuses.
- Coordinate with front desk and clinical teams to resolve documentation discrepancies.
Qualifications & Requirements
- Minimum 2 years of experience in medical billing and insurance processing within the UAE.
- Bachelor’s degree in Healthcare Administration, Accounting, Finance, or related field.
- Strong knowledge of UAE insurance policies, claim submission processes, and TPAs.
- Experience using medical billing software and insurance portals.
- Familiarity with ICD-10 coding is an advantage.
- DHA license or eligibility is preferred.
- Good communication skills in English (Arabic is an advantage).
- Strong attention to detail and ability to work under pressure.
Job Type: Full-time
Pay: AED5,000.00 - AED6,000.00 per month