Clinical Denials Specialist

4 days ago


Abu Dhabi, Abu Dhabi, United Arab Emirates Sheikh Shakhbout Medical City - SSMC Full time

About the Job

We are seeking a skilled Clinical Denials Specialist to join our team at Sheikh Shakhbout Medical City (SSMC). As a Clinical Denials Specialist, you will play a vital role in identifying, mitigating, and preventing denials, as well as preparing reports on clinical disputes based on documented criteria. You will assist with day-to-day revenue cycle denial operations and support process improvement initiatives for coding, billing, and collections activities associated with denial prevention.

Responsibilities:

  • Monitor Compliance: Ensure compliance with rules and contractual terms and agreements with insurance companies and DOH guidelines.
  • Denial Prevention: Assist with daily revenue cycle denial operations and support process improvement initiatives for coding, billing, and collections activities.
  • Billing and Claims: Prepare submission for all patient invoices electronically, maintain and report incorrect charges and charges not captured, and bill secondary claims processed on a daily basis.
  • Productivity and Accuracy: Maintain a high level of productivity while maintaining accuracy, and analyze and rebill late charges according to current policies.
  • Payer Meetings: Participate in external payer meetings, presenting payer performance related to denials, and serve as the Subject Matter Expert (SME) for clinical denials documentation and payer clinical guidelines.
  • Claims Documentation: Maintain claims documentation, conduct follow-up on claims unpaid, partially paid or denied, including appeals and resubmission to the insurance company, and promote effective communication strategies within the team.
  • Training and Development: Identify, monitor, and present monthly denial performance accompanied with case studies and recommendations for process improvement, and respond to verbal and written inquiries in a timely manner.


  • Abu Dhabi, Abu Dhabi, United Arab Emirates Sheikh Shakhbout Medical City - SSMC Full time

    JOB DESCRIPTIONJob holder is responsible for the identification, mitigation, and prevention of denials along with preparing reports on clinical disputes based on the criteria documented. Assists with day-to-day revenue cycle denial operations and support process improvement initiatives for coding, billing, and collections activities associated with Denial...


  • Abu Dhabi, Abu Dhabi, United Arab Emirates Sheikh Shakhbout Medical City - SSMC Full time

    JOB DESCRIPTIONJob holder is responsible for the identification, mitigation, and prevention of denials along with preparing reports on clinical disputes based on the criteria documented. Assists with day-to-day revenue cycle denial operations and support process improvement initiatives for coding, billing, and collections activities associated with Denial...


  • Abu Dhabi, Abu Dhabi, United Arab Emirates Sheikh Shakhbout Medical City - SSMC Full time

    About the RoleWe are seeking a highly skilled Revenue Recovery Officer to join our team at Sheikh Shakhbout Medical City (SSMC). As a Revenue Recovery Officer, you will be responsible for identifying, mitigating, and preventing denials, as well as preparing reports on clinical disputes based on documented criteria. You will also assist with day-to-day...


  • Abu Dhabi, Abu Dhabi, United Arab Emirates Royal Health Group, LLC Full time

    Job DescriptionThe Royal Health Group, LLC is seeking a highly skilled Clinical Audit Specialist to join our team. As a Clinical Audit Specialist, you will be responsible for conducting systematic reviews of clinical practices within our healthcare facility.Key Responsibilities:Audit and Review: Conduct regular audits of patient care records, clinical...


  • Abu Dhabi, Abu Dhabi, United Arab Emirates RTC1 Recruitment Services Full time

    Position Title:Clinical Application SpecialistEmployment Type:Full TimeSalary:up to 15K AED all-inclusive depending on experience and qualificationsJob Location:Dubai, UAEAbout the Client:A leading player in healthcare products and services in the UAE and other MENA RegionJob Description:Provide clinical application training and hands-on support to...


  • Abu Dhabi, Abu Dhabi, United Arab Emirates Genius HRTech Services Full time

    We are seeking a Clinical Leadership Specialist to lead and manage the nursing team in providing patient-centric and evidence-based nursing care, operational efficiency, and positive patient experiences.The successful candidate will possess a Bachelor's Degree in Nursing from a recognised/accredited Nursing Institute and at least 3-5 years' senior nursing...


  • Abu Dhabi, Abu Dhabi, United Arab Emirates Sheikh Shakbout Medical City Full time

    Sheikh Shakbout Medical City is seeking a highly skilled Clinical Operations Specialist to join our team. In this role, you will coordinate with multidisciplinary teams and healthcare providers to ensure quality patient care.Key Responsibilities:Maintain active communication with physicians, nurses, and other team members for effective patient care...


  • Abu Dhabi, Abu Dhabi, United Arab Emirates Sheikh Shakbout Medical City Full time

    Job Description:The Sheikh Shakbout Medical City seeks a highly skilled Clinical Care Specialist to join our team. This role is responsible for coordinating patient care, including direct patient assessment, education, and transitions of care.The ideal candidate will have a strong understanding of professional nursing practice and the ability to support...


  • Abu Dhabi, Abu Dhabi, United Arab Emirates New Sourcing International (NSI) Full time

    As a specialist maternity hospital in UAE, our client is committed to providing leading-edge comprehensive care for women's needs and facilitating a safe childbirth experience.Job OverviewWe are seeking an experienced Clinical Resource Nurse to join our team. This role requires a highly skilled professional with a strong background in nursing and...


  • Abu Dhabi, Abu Dhabi, United Arab Emirates Multispecialty Hospital Full time

    At Multispecialty Hospital, we are seeking a highly skilled Clinical Communication Specialist to join our team.This is a unique opportunity for a dedicated professional to make a meaningful impact in the lives of adults with various communication and swallowing issues.The successful candidate will be responsible for evaluating each individual's needs and...


  • Abu Dhabi, Abu Dhabi, United Arab Emirates Skills Hub Recruitment Solutions Full time

    About the JobWe are seeking a highly skilled Registered Nurse to join our multidisciplinary team at a leading healthcare facility in Abu Dhabi. As a Clinical Care Specialist, you will play a vital role in delivering comprehensive nursing care to patients across various medical specialties.Key Responsibilities:Provide direct patient care, including...


  • Abu Dhabi, Abu Dhabi, United Arab Emirates Hawaiidoe Full time

    Job Title: Clinical Psychologist VIAbout the Role:We are seeking a highly skilled Clinical Psychologist to join our team at the Hawaii State Department of Education. This position will provide clinical psychology services to students at various schools within the Central District as needed and assigned by the Central District Administration Office.Salary:The...

  • Clinical Psychologist

    10 hours ago


    Abu Dhabi, Abu Dhabi, United Arab Emirates SEHA Sheikh Khalifa Medical City Full time

    SEHA is the largest and most comprehensive healthcare network in the UAE and owns and operates all the public hospitals and clinics of the Emirate of Abu Dhabi. SEHA was established to provide UAE residents, citizens, and tourists with integrated, outstanding healthcare services following the highest international quality and safety standards. SEHA is a key...


  • Abu Dhabi, Abu Dhabi, United Arab Emirates Sheikh Shakhbout Medical City - SSMC Full time

    About the RoleAs a Clinical Resource Nurse at Sheikh Shakhbout Medical City - SSMC, you will play a pivotal role in delivering high-quality patient care. The successful candidate will have a Bachelor's degree in Nursing (BSN) or equivalent, with a minimum of 5 years' experience in clinical nursing, including at least 2 years in a leadership or supervisory...


  • Abu Dhabi, Abu Dhabi, United Arab Emirates New Sourcing International (NSI) Full time

    We are seeking an experienced Clinical Resource Nurse to join our team at a specialist maternity hospital in UAE. As a member of our team, you will have the opportunity to work with a highly experienced medical staff and contribute to the development of our educational programs.About the PositionThis is an excellent opportunity for a nurse with a strong...


  • Abu Dhabi, Abu Dhabi, United Arab Emirates Client of Medacs Healthcare Full time

    We are seeking a highly skilled Clinical Recovery Specialist to join our team at Client of Medacs Healthcare.Job Description:As a Post-Anaesthesia Care Unit / Recovery Nurse, you will provide exceptional patient care in a fast-paced environment, ensuring seamless transitions between anaesthesia and recovery.Key Responsibilities:Care for patients undergoing...


  • Abu Dhabi, Abu Dhabi, United Arab Emirates Medi Clinic Full time

    Mission-driven professionals who share our passion for delivering exceptional patient experiences are encouraged to apply.About the Role:We seek a highly skilled Specialist in Perinatal and Neonatal Health to join our team. As a key member, you will contribute to the delivery of comprehensive, high-quality care to patients.Responsibilities:Deliver quality...

  • Clinical Coder

    4 days ago


    Abu Dhabi, Abu Dhabi, United Arab Emirates Medbiomate Full time

    The Clinical Coder reviews, analyzes, and codes documentation for hospital medical records to select and sequence the appropriate ICD-10-CM diagnosis and CPT procedure codes as applicable. This position is responsible for accurate assignment and abstracting to determine accuracy and completeness of the record, utilizing the 3M Coding Reimbursement to compile...

  • Clinical Pharmacist

    1 week ago


    Abu Dhabi, Abu Dhabi, United Arab Emirates Medbiomate Full time

    To provide pharmaceutical expertise and input to the care of patients and provide patients and clinical providers with therapeutic assessments and selected disease management, whilst working toward improving patient and clinical practice outcomes. The Clinical Pharmacist will ensure the delivery of International standards of care in accordance with...


  • Abu Dhabi, Abu Dhabi, United Arab Emirates New Sourcing International (NSI) Full time

    My client is a specialist maternity hospital in UAE.With state-of-the-art facilities, a nurturing and caring environment, and highly experienced medical staff.My client is a totally committed healthcare facility providing leading-edge comprehensive care for women's needs and facilitating a safe childbirth experience.Currently, my client has a great...