Insurance Coordinator cum Admin

Full job description

Job Purpose:

To manage and coordinate all insurance-related activities, ensuring accurate and timely processing of patient claims, adherence to DHA and insurance regulations, and smooth communication between the clinic, patients, and insurance providers.

Key Responsibilities:

• Insurance Coordination & Approvals
• Verify patient insurance coverage and eligibility prior to services.
• Obtain pre-authorization and approvals for treatments and procedures.
• Ensure all documentation complies with DHA and insurance requirements.
• Claims Management
• Prepare, review, and submit insurance claims accurately and on time.
• Follow up on pending, rejected, or underpaid claims.
• Maintain proper documentation and claim tracking records.
• Billing & Reconciliation
• Coordinate with the accounts department to reconcile insurance payments.
• Verify invoices against approved claims and received payments.
• Ensure all discrepancies are resolved promptly.
• Compliance & DHA Policy Knowledge
• Ensure compliance with DHA standards, policies, and insurance regulations.
• Stay updated with any changes in DHA or insurance company policies.
• Support the clinic in DHA audits or inspections related to insurance processes.
• Patient Support & Communication
• Educate patients about their insurance benefits and coverage.
• Handle insurance-related queries in a professional and timely manner.
• Coordinate between doctors, patients, and insurance companies as needed.
• Reporting & Documentation
• Maintain accurate records of all claims, rejections, and payments.
• Prepare regular reports on claim status, collection trends, and insurance performance.
• Assist management in optimizing the revenue cycle process
• Clinic Admin
• Manage day to day operations.
• Billing, Registration.
• Selling Health pacakges, DHA work, DHA Inspection internally with Medical Director.
• DSC Reporting, Dialy revenue reports, Inventory Management, HR Management
• Maintain Staff file, Schedule interviews as per the requirmeents, Facility and Service Management
• Manage day to day requirements in the clinic
• Keeping the records of PPM, and regulatrory requirements
• Staff Management, Making the letters for the management.
• Daily revenue report, Monthly Reports
• Opening and closing of the sales and stocks
• Payroll and Attendance managment along with accountant

Qualifications & Skills:

• Bachelor’s degree in Business Administration, Healthcare Management, or a related field.
• Minimum 2–3 years of experience as an Insurance Coordinator in a healthcare facility (UAE preferred).
• Strong knowledge of DHA policies, eClaimLink, and insurance claim processes.
• Familiar with healthcare insurance portals and claim submission software.
• Excellent communication, negotiation, and follow-up skills.
• Attention to detail and ability to handle confidential information responsibly.
• Proficiency in MS Office (Word, Excel, Outlook).
• Arabic knowledge is an advantage.

Key Competencies:

• Knowledge of medical coding and insurance terminology.
• Strong organizational and time management skills.
• Problem-solving and analytical thinking.
• Teamwork and adaptability in a fast-paced healthcare environment.

Job Types: Full-time, Contract
Contract length: 24 months

Pay: AED2,000.00 - AED2,500.00 per month

Experience:

• work: 2 years (Required)

Job Type: Full-time