Industry

Healthcare / Revenue Cycle Management

Employment Type

Full Time

Location

Dubai, United Arab Emirates

Salary

AED 4,000 – 7,000 (Estimated)

Company

Saudi German Hospital Dubai

Qualification

• Diploma or Degree in Healthcare Administration, Insurance, Medical Coding, Health Information Management, or a related field preferred

Experience

• Experience in medical insurance claims processing and resubmissions required
• Experience in denial management and healthcare revenue cycle operations preferred
• Prior experience in a hospital or healthcare environment is an advantage

Job Description

Saudi German Hospital Dubai is seeking a detail-oriented and proactive Resubmission Officer to join its Revenue Cycle Management (RCM) team. This role is ideal for professionals with strong expertise in medical insurance claims handling, denial analysis, and claim resubmission processes within the UAE healthcare sector.

The successful candidate will be responsible for reviewing rejected and denied insurance claims, identifying root causes, correcting claim issues, and ensuring timely resubmission in accordance with payer requirements and regulatory guidelines. The role requires excellent analytical skills, attention to detail, and a strong understanding of UAE insurance procedures.

This opportunity offers the chance to contribute to efficient revenue cycle operations within one of the UAE’s leading healthcare organizations.

Key Responsibilities

Claims Review & Analysis

• Review and analyze rejected and denied insurance claims
• Identify reasons for claim rejections and payment delays
• Evaluate claim discrepancies and documentation gaps
• Investigate payer feedback and denial reports

Claims Resubmission Management

• Prepare corrected claims for resubmission
• Ensure claims are resubmitted within required timelines
• Verify claim accuracy before submission
• Monitor claim status until final resolution

Denial Management

• Analyze denial trends and recurring rejection patterns
• Implement corrective actions to reduce future denials
• Coordinate with relevant departments to resolve claim issues
• Support continuous improvement in claim acceptance rates

Documentation Coordination

• Coordinate with physicians, nurses, coders, and administrative teams
• Obtain missing clinical documentation when required
• Ensure medical records support claim resubmission requirements
• Verify completeness and accuracy of supporting documents

Compliance & Regulatory Adherence

• Ensure compliance with UAE insurance regulations
• Follow payer-specific submission guidelines and requirements
• Maintain adherence to hospital policies and revenue cycle procedures
• Support audit and compliance activities when required

Revenue Cycle Support

• Contribute to efficient revenue cycle management processes
• Support timely reimbursement and claim recovery efforts
• Assist in reducing accounts receivable aging related to denied claims
• Collaborate with finance and insurance departments to improve claim outcomes

Reporting & Record Management

• Maintain accurate records of resubmitted claims
• Track denial resolutions and claim outcomes
• Generate reports related to claim performance and resubmission activities
• Document corrective actions and follow-up activities

Requirements

Educational Qualification

• Diploma or Degree in:
  • Healthcare Administration
  • Insurance
  • Medical Coding
  • Health Information Management
  • Related Healthcare Field

Professional Experience

• Experience in medical insurance claims handling and resubmissions
• Experience in denial management processes
• Knowledge of healthcare revenue cycle operations preferred
• Hospital or healthcare sector experience is an advantage

Core Competencies

• Strong analytical and problem-solving abilities
• Excellent attention to detail and accuracy
• Strong organizational and time-management skills
• Effective communication and coordination skills
• Ability to work under deadlines and manage multiple claims simultaneously

Required Knowledge

Insurance Claims Management

• Insurance Claim Processing
• Claims Resubmission Procedures
• Medical Billing Processes
• Claims Validation and Verification

Denial Management

• Denial Analysis
• Rejection Resolution Procedures
• Root Cause Identification
• Corrective Action Planning

Revenue Cycle Management

• Revenue Cycle Operations
• Accounts Receivable Processes
• Reimbursement Management
• Claim Recovery Procedures

UAE Healthcare Insurance

• UAE Insurance Regulations
• Payer Guidelines and Requirements
• Insurance Policy Compliance
• Healthcare Reimbursement Standards

Documentation & Compliance

• Medical Documentation Standards
• Clinical Record Review
• Healthcare Compliance Requirements
• Audit Preparation and Documentation Management

Ideal Candidate Profile

• Detail-oriented healthcare insurance professional
• Strong understanding of claim denial and resubmission processes
• Analytical thinker with excellent problem-solving abilities
• Capable of working collaboratively with clinical and administrative teams
• Committed to accuracy, compliance, and operational efficiency
• Focused on improving reimbursement outcomes and revenue cycle performance

Benefits

• Opportunity to work with a leading healthcare institution
• Exposure to advanced healthcare revenue cycle operations
• Professional growth and development opportunities
• Dynamic and collaborative work environment

How to Apply

Interested candidates may apply by sending their updated resume.