Billing and Insurance Coordinator

Job summary

We are seeking a detail-oriented and proactive billing & insurance coordinator to manage insurance eligibility, pre-authorizations, claims submission, reconciliation, and patient billing processes. The successful candidate will play a critical role in ensuring accurate revenue cycle management, compliance with UAE healthcare regulations, and a seamless financial experience for patients. This role requires strong coordination with clinical teams, front desk staff, insurers, and finance.

Key responsibilities

1. Insurance verification & pre-authorization
Verify patient insurance eligibility, coverage limits, exclusions, and co-pay requirements prior to appointments.
Obtain and track pre-authorizations for consultations, diagnostic services, imaging, laboratory tests, and procedures.
Coordinate with clinicians to ensure required medical documentation supports authorization requests.
Communicate approvals, denials, and coverage details to patients and internal teams.

2. Claims submission & processing
Prepare, review, and submit accurate insurance claims in compliance with UAE payer requirements and coding standards.
Ensure correct CPT/ICD coding coordination with clinical and medical records teams.
Monitor claim status, follow up on pending claims, and resolve rejected or denied claims promptly.
Maintain accurate documentation of submissions, resubmissions, and appeals.

3. Patient billing & collections
Generate patient invoices for co-payments, deductibles, and uncovered services.
Provide clear explanations of charges and payment responsibilities to patients.
Process payments and maintain accurate financial records.
Support collections follow-up in a professional and patient-centered manner.

4. Revenue cycle & reconciliation
Reconcile daily billing reports with EMR and finance records.
Coordinate with the finance department on revenue reporting and discrepancies.
Track KPIs related to claims acceptance rates, denials, and turnaround times.
Identify opportunities to improve billing efficiency and reduce revenue leakage.

5. Compliance & regulatory adherence
Ensure compliance with DHA regulations, insurance policies, and UAE healthcare billing standards.
Maintain confidentiality of patient financial and medical information.
Support internal audits and insurance audits when required.

6. Collaboration & patient experience
Work closely with physicians, nurses, radiology, laboratory, and front desk teams to ensure seamless workflow.
Support transparent communication with patients regarding coverage, approvals, and financial obligations.
Contribute to continuous improvement of administrative and operational processes.

Requirements

Qualifications & experience

Required:
Bachelor's degree or diploma in healthcare administration, finance, medical coding, or related field.
Minimum 2–4 years of experience in healthcare billing and insurance coordination in the UAE.
Strong understanding of UAE insurance providers, claim submission systems, and DHA billing regulations.
Familiarity with ICD and CPT coding standards.
Experience using EMR systems and insurance portals.

Preferred:
Experience in specialty clinics (endocrinology, diabetes, metabolic health, cardiology).
Knowledge of value-based care or integrated care models.
Experience handling high-volume insurance coordination.

Skills & competencies
Strong attention to detail and accuracy.
Excellent organizational and time-management skills.
Problem-solving mindset with ability to manage claim rejections effectively.
Strong communication skills (verbal and written).
Professional, patient-centered approach.
Ability to work in a fast-paced, multidisciplinary environment.