Senior Officer, Insurance Services

OverviewFacility OverviewImperial College London Diabetes Centre (ICLDC), a key partner of M42, is a world-class outpatient facility dedicated to the treatment of diabetes, as well as research, education, and public health awareness. Established in collaboration with Imperial College London to meet the rising demand for diabetes care in the UAE, the Centre now operates four branches across Abu Dhabi, Al Dhafra, and Al Ain, positively impacting the lives of over one million people through its clinical services and health-focused initiatives.Role OverviewThe Senior Officer, Insurance Services reports directly to the Supervisor, Insurance Services and plays a key role in supporting both the finance and insurance teams in their day-to-day operations. This role involves a wide range of responsibilities, including but not limited to handling insurance authorizations, claim submissions and resubmissions, and processing medical claims. The Senior Officer ensures that all insurance-related activities are executed in full alignment with M42 s established procedures and regulatory guidelines. With a strong focus on accuracy, compliance, and collaboration, the Senior Officer contributes significantly to the efficiency of insurance workflows and the overall quality of patient care.ResponsibilitiesEnsure accurate processing of insurance and corporate claims in line with reimbursement agreementsCoordinate with insurance providers for eligibility checks, approvals, and reconciliationSupport verification, preauthorization, and benefit entry across departmentsCommunicate billing and insurance guidelines to staff and physiciansMaintain organized records and assist with payment tracking and auditsMonitor receivables and manage outstanding balancesAnalyze claim adjustments and ensure compliance with billing standardsCollaborate with billing clerks, utilization nurses, and supervisorsParticipate in staff training and contribute to process improvementsQualificationsMinimum 3 years of hands-on experience in handling pre-approvals, payer auditing, submission or resubmission and Medical Coding for DOH ClaimsCPC or CCS Certification Familiar with DOH claims adjudication guidelines