Officer, Insurance Services

1 week ago

Abu Dhabi, United Arab Emirates Amana Healthcare Full time

Overview M42 delivers comprehensive healthcare services across the full continuum of care; from primary care to advanced specialty treatments. Leveraging cutting-edge health technologies and precision medicine, we ensure the highest standards of effectiveness, efficiency, and patient-centered outcomes. With a global presence spanning more than 480 facilities in 27 countries and a dedicated workforce of over 20,000 professionals, M42 is uniquely positioned to redefine the future of healthcare on a global scale. Amana Healthcare is a leading long-term care and rehabilitation provider in the Middle East and GCC, and the region's pioneer in post-acute care services. It offers comprehensive long-term care, post-acute rehabilitation, transitional care, and home healthcare. As part of the M42 network, Amana is dedicated to delivering high-quality, patient-centered care tailored to the needs of individuals requiring complex or extended recovery support. As an Officer, Insurance Services, you will play a critical role in keeping our insurance operations running smoothly. Reporting to the Revenue Cycle Manager, you will manage authorizations, submissions, resubmissions, and process medical claims with precision and care. Every task you handle ensures compliance with M42's insurance policies and guidelines. Your attention to detail and commitment to excellence will make you an indispensable part of our revenue cycle management team, driving efficiency and reliability across all insurance activities. Responsibilities Collaborates with the Line Manager to achieve the division's strategic and operational goals. Ensures adherence to M42 policies, procedures, and regulatory requirements while maintaining patient privacy and confidentiality. Handles insurance authorizations, submissions, resubmissions, and medical claims with accuracy and efficiency. Provides customer service support for insurance verification, eligibility checks, and preauthorization requests. Verifies compliance with billing guidelines, maintains accurate records, and tracks payments for timely reimbursement. Recommends enhancements to policies and contributes to developing insurance frameworks and processes. Maintains strong relationships with insurance carriers and responds promptly to internal and external queries. Communicates effectively and collaborates with team members and other departments to ensure smooth operational workflows. Qualifications Bachelor's degree in Finance, Accounting, Business Administration, or a related field. Minimum of 2 years' experience, preferably in Finance, Accounting, or Insurance within a healthcare setting. Familiarity with UAE insurance practices and regulations. Strong analytical and problem-solving skills with knowledge of revenue cycle management in healthcare. Understanding of medical coding, billing, and collection practices, including third-party operating procedures. Proficiency in Microsoft Office applications and fluency in written and spoken English. #J-18808-Ljbffr

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