Full job description

Medical Insurance Coordinator – Job DescriptionJob Summary

The Medical Insurance Coordinator is responsible for managing all aspects of medical insurance processes, including patient eligibility verification, pre-authorizations, claim submissions, resubmissions, reconciliations, and communication with insurance companies. The role ensures accurate billing, timely claim processing, and compliance with UAE insurance regulations.

Key Responsibilities

• Verify patients' insurance eligibility and benefits.
• Obtain pre-authorizations and approvals from insurance providers.
• Ensure accurate coding and billing according to insurance guidelines.
• Submit insurance claims through approved portals.
• Follow up on pending, rejected, and denied claims.
• Perform claim resubmissions and reconciliations.
• Review explanation of benefits (EOB) and remittance advice.
• Coordinate with doctors, reception, and billing teams to ensure complete documentation.
• Resolve insurance-related queries from patients and insurance companies.
• Maintain accurate patient insurance records.
• Monitor claim status and prepare periodic reports.
• Ensure compliance with DHA, DOH, MOHAP, and insurance company regulations.
• Stay updated with insurance policies, coding, and billing requirements.

Requirements

• Minimum 2 years of experience in medical insurance coordination in the UAE.
• Experience in a medical center, clinic, or hospital.
• Strong knowledge of UAE insurance companies and their approval processes.
• Experience with claim submission, resubmission, reconciliation, and rejection management.
• Knowledge of ICD-10, CPT coding, and medical billing.
• Proficiency in healthcare management systems and insurance portals.
• Excellent communication and organizational skills.
• Ability to work under pressure and meet deadlines.

Preferred Qualifications

• Bachelor's degree or Diploma in a relevant field.
• Experience with multiple insurance networks in the UAE.
• Familiarity with healthcare regulations and medical coding standards.

Pay: AED1.00 - AED2.00 per month

Application Question(s):

• Do you have hands-on experience with insurance claim submission, resubmission, and reconciliation in the UAE?

Experience:

• Insurance Coordinator in UAE: 2 years (Required)

Work Location: In person