Rcm - Manager - Insurance

6 months ago


Sharjah, United Arab Emirates Rayhan Gulf Medical center Full time

RCM - Manager:
Qualification: Graduate with Medical coding certification, preferably Nursing / medical background.

Experience: 6+ years

Job Responsibilities:

- Create and maintain standard policies and protocols for the department.
- Liaise internally with the medical, operations, nursing, paramedical, and finance departments.
- Maintain business relations and client management through interaction with insurance companies and TPAs.
- periodic review of insurance contracts for compliance.
- Act as the final authority to declare the insurance eligibility of the insured patient, i.e., serve as the approving officer for the treatment of the insured patient.
- Resolve issues and obtain approval for insured patients through communication with the TPA and insurance companies when necessary.
- Submission of claims within 7 days from the end of the previous month.
- To make sure that 100% of all claims are submitted for services that the medical Centre provides to patients.
- Follow up with insurance companies or TPAs for the payments and collect money as per the payment teams listed in the contract.
- Responsible for providing required documents and information to the DHIC and TPA/insurance company audit teams.
- Timely re-submission of the rejected claims.
- Keep track of claim status—paid, unpaid, and rejected claims.
- Ensure the smooth functioning of the department as a team leader and motivate the members to perform their best.
- Provide training to doctors, front-office staff, and back-office staff.
- Update the concerned staff or department about any changes in the policy or protocol of the insurance companies or TPAs.
- Make sure that all preapproval requests are sent to insurance companies on time and do the proper follow-up to get the same.
- Liaison with insurance companies for increasing the tariff, adding new services, etc.
- Responsible to keep the insurance disallowance less than 5%.
- Provide recommendation / suggestion to management for adding new network or insurance companies.
- Responsible for collecting sticky receivable

**Salary**: Up to AED8,000.00 per month


  • Rcm Officer

    2 weeks ago


    Sharjah, United Arab Emirates NMC Healthcare Full time

    Manages insurance approvals for insured patients. Liaises between NMCRHSHJ and Insurance Companies. - Coordinates with clinicians and/or other clinical staff of different specialities for gathering relevant information/documentation for onward submission. - Liaises with Insurance Companies/TPAs for submitting, resubmitting and replying queries raised by...

  • Rcm Officer

    3 days ago


    Sharjah, United Arab Emirates NMC Healthcare Full time

    Manages insurance approvals for insured patients. Liaises between NMCRHSHJ and Insurance Companies. - Coordinates with clinicians and/or other clinical staff of different specialities for gathering relevant information/documentation for onward submission. - Liaises with Insurance Companies/TPAs for submitting, resubmitting and replying queries raised by...


  • Sharjah, United Arab Emirates Ebn Hayan Healthcare Full time

    **Job Summary** The Insurance Manager is responsible for overseeing and managing all aspects of the insurance and claims processing operations within the Revenue Cycle Management (RCM) department. This role involves ensuring timely submission, follow-up, and resubmission of claims to maximize reimbursement rates, minimize denials, and improve cash flow. The...

  • Insurance Manager

    5 months ago


    Sharjah, United Arab Emirates Healthcare Organisation Full time

    3-5 or above Years of Experience in the RCM department at a managerial level. - UAE experience is a must with experience in the healthcare domain. - Will be accountable for working closely with healthcare partners surrounding all billing and insurance processes and provide appropriate oversight and feedback to the higher management that ensures continued...

  • Insurance Agent

    5 hours ago


    Sharjah, United Arab Emirates Insurance Brokers LLC Full time

    Create opportunities to achieve and increase sales, persistency and conversion targets. - Establish a collaborative relationship with prospective clients from various sources such as networking, cold calling, and referrals. - Become the go to person for our clients, support them thru their insurance needs as well as non insurance needs. - Recommend risk...

  • Rcm Administrator

    2 months ago


    Sharjah, United Arab Emirates NMC Healthcare Full time

    Claims Processing Team: Submission - Verifies the ICD1O CM codes and relevant CPT/ HCPCS codes on the UCF / discharge summary for submission to various insurance companies on day-to-day basis. - Analysis of the UCF documentation issue from time to time and providing reports about areas of concern in coding and the claims. - Uploads OP E-claims. - Identifies...

  • Insurance Manager

    6 months ago


    Sharjah, United Arab Emirates DAMAS MEDICAL CENTER Full time

    **Insurance Manager** **Responsibility to staff and direct the team to** - manage the maintenance, development, performance, governance, administration and delivery of the insurance provision for the organisation to produce an efficient service and delivery solution, maximising efficiency, performance and best value against pre-agreed targets. - ensuring...

  • Insurance Manager

    3 weeks ago


    Sharjah, United Arab Emirates Decision Management Consultants Full time

    We are recruitingan Insurance Manager for one of our clients based in Sharjah UAE.AboutOur Client:Ourclient is a real estate developer dedicated to creating integratedlifestyle communities and destinations in Sharjah and beyond. Theyfocus on providing inspiring lifestyle experiences that enhance thequality of life for residents. With a keen understanding of...

  • Rcm Administrator

    5 months ago


    Sharjah, United Arab Emirates NMC Healthcare Full time

    Manages Claims Submission by checking accuracy of CPT and ICD coded invoices. - Rectifies errors in billing in coordination with the doctors. Claims Processing Team: Submission - Verifies the ICD1O CM codes and relevant CPT/ HCPCS codes on the UCF / discharge summary for submission to various insurance companies on day-to-day basis. - Analysis of the UCF...

  • Rcm Administrator

    3 months ago


    Sharjah, United Arab Emirates NMC Healthcare Full time

    Claims Processing Team: Submission - Verifies the ICD1O CM codes and relevant CPT/ HCPCS codes on the UCF / discharge summary for submission to various insurance companies on day-to-day basis. - Analysis of the UCF documentation issue from time to time and providing reports about areas of concern in coding and the claims. - Uploads OP E-claims. - Identifies...

  • Insurance Coordinator

    6 months ago


    Sharjah, United Arab Emirates MBS Investments Full time

    Provide assistance and advice to internal staff with respect to insurance policy coverage and general insurance questions - Collect and analyze insurance claims data including reviewing and reports from the insurance provider - Coordinate with HR Department for adding or deleting of the insurance. - Create and modify procedures, maintain up to date records,...

  • Operations Manager

    2 months ago


    Sharjah, United Arab Emirates Projects Full time

    The role involves managing a team, ensuring compliance with regulatory requirements, and contributing to the development of business strategies to achieve organizational goals. Responsible for leading and overseeing the activities related to the administration, underwriting, and claims processing of general insurance policies - property, marine, engineering,...


  • Sharjah, United Arab Emirates Gargash Insurance Full time

    We at **Gargash Insurance Services** are looking for a seasoned **Business Development Lead** to manage our Business Development Team for our **Sharjah branch**. If you are a results-driven leader with a strong track record in sales and business development within the insurance sector in UAE, we would be pleased to connect with you. **Key...


  • Sharjah, United Arab Emirates Ebn Hayan Health Care Full time

    As an Insurance Manager, you will oversee our insurance operations, focusing on optimizing claims management processes and maintaining strong relationships with insurance providers. You will lead a team dedicated to handling all aspects of medical insurance, from claims processing to coordination with healthcare providers and...

  • Insurance Agent

    7 months ago


    Sharjah, United Arab Emirates Autosafe Full time

    Responsibilities: - Identify and cultivate relationships with potential and existing insurance company partners. - Negotiate terms and contracts to secure job opportunities and partnerships. - Develop strategies to expand our insurance company network and achieve business objectives. - Conduct market research to identify new trends and opportunities within...

  • Insurance Coordinator

    3 months ago


    Sharjah, United Arab Emirates NMC Healthcare Full time

    Keep Hospital Information System up to date as per UAE Drug Code. Update for corrections in selling price announced as and when notified by Health Authority. - Map the dispensing drugs with Drug Code up to the granular units and updates recommended by Healthy Authority. - Provide correct and timely information about the blocked/deleted /about to be blocked...


  • Sharjah, United Arab Emirates Dental Avenue Full time

    **Company**: Dental Avenue Medical Center **Location**: Sharjah Al Mamzar Corniche - UAE **Job Type**: Full-time Duties and Responsibilities: 1. Make sure to update always the record of all the staff (visa, passport copy, MOH Licenses) 2. Print the updated hard copy of all the important documents such as Establishment MOH License, Doctors & Dental...


  • Sharjah, United Arab Emirates Tiger group Full time

    **Job Title**: Insurance Coordinator **Location**: Sharjah **Reports To**: Operations Manager/Insurance Manager **Job Summary**: The Insurance Coordinator is responsible for managing and coordinating all insurance-related activities within the organization. This role involves handling insurance claims, managing policy renewals, liaising with insurance...


  • Sharjah, United Arab Emirates InsuranceBrokerageFirm Full time

    **Job description** Responsible for leading and overseeing the Insurance broker firm activities related to the administration, underwriting, and claims processing of general insurance policies. **Qualifications**: - Bachelor's degree in Business, Finance, Insurance, Engineering or a related field. - Minimum 6 years experience in the insurance industry...

  • Insurance Coordinator

    2 months ago


    Sharjah, United Arab Emirates Air Arabia Full time

    **Date**:10 Sep 2024**Company**:Air Arabia PJSC (G9)**Location**:Sharjah, AE**Country**:AE**Job Purpose**: - Responsible for all medical insurance claims related processes including but not limited to e-claims, resubmissions, rejections etc. Liaise between Medical Insurance Providers and employees/patients and handle all communications and documentation...