Insurance Services Officer

• 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.