Insurance Coordinator

I nsurance Coordinator

Company: HYF Medical Center

Department: Insurance / Administration

Location: Jumeirah 1 Dubai UAE

Employment Type: Full-time

Number of Positions: 1

Salary: AED per month depending on experience and qualifications

About HYF Medical Center

HYF Medical Center is an international medical center located in Jumeirah 1 Dubai providing premium healthcare services to local international and VIP patients.

We are looking for a professional organized and detail-oriented Insurance Coordinator to manage medical insurance-related activities coordinate with insurance companies and TPAs support patient eligibility verification pre-authorizations and claims processing and ensure smooth communication between patients clinical teams finance and insurance providers.

The successful candidate should have good knowledge of the UAE healthcare insurance system and experience working with medical insurance companies and TPAs.

Key Responsibilities

1. Insurance Eligibility & Verification

Verify patient insurance eligibility and coverage before appointments and treatments.

Check insurance benefits coverage limits exclusions co-payments and deductibles.

Confirm whether specific medical services require pre-authorization.

Communicate with insurance companies and TPAs regarding patient eligibility and benefits.

Ensure patient insurance information is accurately recorded in the system.

Assist patients with insurance-related inquiries.

2. Pre-Authorization

Submit pre-authorization requests to insurance companies and TPAs.

Follow up on pending approvals and provide additional documents when required.

Coordinate with doctors and clinical staff to obtain medical reports diagnoses prescriptions and supporting documents.

Monitor approval status and ensure timely responses.

Communicate approval or rejection information to the relevant departments and patients.

Maintain accurate records of all authorization requests and decisions.

3. Claims Management

Prepare and submit medical insurance claims accurately and on time.

Review claims documentation before submission.

Ensure claims comply with insurance company and TPA requirements.

Follow up on rejected denied or pending claims.

Investigate claim discrepancies and coordinate corrections.

Resubmit corrected claims when required.

Maintain proper records of submitted approved rejected and paid claims.

4. Insurance Companies & TPA Coordination

Communicate with insurance companies and TPAs regarding eligibility approvals claims and payment issues.

Coordinate with major UAE healthcare insurance networks and TPAs.

Maintain professional relationships with insurance representatives.

Follow up on outstanding insurance payments and claims.

Assist management with insurance provider onboarding and network registration when required.

Maintain updated contact information and requirements for insurance companies and TPAs.

5. Patient Support

Explain insurance coverage and basic billing procedures to patients in a clear and professional manner.

Inform patients of applicable co-payments deductibles or non-covered services.

Assist patients with insurance-related questions and concerns.

Handle insurance complaints professionally and escalate complex issues when necessary.

Provide support to VIP and international patients regarding insurance arrangements.

6. Billing & Finance Coordination

Coordinate with the Finance Department regarding insurance billing and collections.

Ensure services are billed correctly according to approved insurance coverage.

Verify insurance-related invoices and supporting documentation.

Follow up on outstanding insurance receivables.

Assist with reconciliation of insurance payments and claims.

Identify discrepancies between approved amounts billed amounts and received payments.

7. Documentation & Reporting

Maintain accurate insurance records and claim documentation.

Keep records of pre-authorizations claims approvals rejections and payments.

Prepare regular insurance and claims reports for management.

Monitor claim status and outstanding receivables.

Assist with internal and external audits.

Ensure patient insurance information is handled confidentially.

Qualifications

Bachelors degree or diploma in Healthcare Administration Business Administration Finance Insurance Accounting or a related field.

24 years of experience in medical insurance healthcare administration insurance coordination or claims processing