Officer, Insurance Services

  • Medical Insurance Jobs
  • Other , Other
  • 3 months ago
  • 0
  • Medical Insurance Jobs
  • relevant qualification
  • Relevant experience

Description

Job Description


M42 is an Abu Dhabi-based, global tech-enabled health company. It combines G42 Healthcare’s unique medical and data-centric technologies with Mubadala Health’s world-class patient services and state-of-the-art facilities to provide the highest level of personalized, precise, and preventative care.

Healthpoint is a premium hospital providing a wide array of patient services. Based in Abu Dhabi and accepting patients from around the UAE and beyond, our hospital places patients at the heart of what we do, and provides top-quality care, grounded in the latest internationally recognized medical approaches.

This position will play a key role in supporting the finance and insurance teams with essential daily tasks, including processing medical claims, handling authorizations, submissions, and resubmissions. Reporting to the Supervisor, you’ll ensure all insurance operations follow M42’s procedures, helping streamline processes and contribute to efficient patient care.

Responsibilities

  • Ensure accurate processing of insurance and corporate claims, adhering to contracts for timely reimbursement.
  • Provide customer support for insurance verification, eligibility, and preauthorization.
  • Collaborate with staff to ensure accurate entry of insurance information and compliance with billing guidelines.
  • Maintain organized records and manage claims correspondence with insurance and corporate clients.
  • Track payments, manage outstanding balances, and support other departments in the revenue cycle process.
  • Analyze claim adjustments, bad debt provisions, and develop reports for performance measurement.
  • Contribute to the development and improvement of insurance guidelines and processes.

Qualifications

  • Bachelor’s Degree in Finance, Accounting,Business Administration or related fields.
  • At least 2 years of progressive career experience in Insurance environment in a hospital facility.
  • Coding Certificate by AAPC or AHIMA is required.

Conditions

Languages