Senior Insurance Reconciliation Officer - Prime Healthcare Group LLC, Dubai

Prime Healthcare Group LLC stands as a leading institution within the healthcare sector of the United Arab Emirates. As part of its expansion and commitment to high-quality standards, the group is seeking to fill the position of Senior Insurance Reconciliation Officer at its headquarters in Dubai.

Job Description and Responsibilities

The Senior Reconciliation Officer will hold a pivotal role within the finance and administration team, with a primary focus on managing and coordinating health insurance claims reconciliation processes. The key responsibilities for this position include:

• Managing the Reconciliation Process: Conducting comprehensive matching and analysis of accounts between hospital/medical center invoices and insurance company claims.
• Analyzing Discrepancies: Identifying the root causes of discrepancies between billed amounts and amounts settled by insurance companies, and conducting necessary investigations to resolve them.
• Follow-up and Communication: Engaging in professional and effective communication with representatives of various insurance companies to follow up on pending or rejected claims and expedite the settlement process.
• Ensuring Accuracy: Verifying the accuracy and completeness of all supporting documentation for claims before submission, ensuring compliance with insurer policies and contractual terms.
• Reporting: Preparing periodic reports on the status of reconciliation processes, volumes of outstanding claims, and any challenges or obstacles, and presenting them to management.
• Support and Training: Providing support and guidance to less experienced members of the reconciliation team and participating in the improvement of procedures and policies related to insurance management.

Qualifications and Requirements

To be a suitable candidate for this role, you must meet the following criteria:

• Educational Qualification: A Bachelor's degree in a relevant field such as Accounting, Finance, Business Administration, or Health Administration.
• Work Experience: A minimum of 3 to 5 years of experience in a similar role, with proven experience in insurance claims reconciliation within the healthcare or hospital sector. Preference will be given to candidates with experience in the UAE or GCC market.
• Technical Knowledge: In-depth understanding of health insurance systems, coded medical procedures (e.g., ICD-10, CPT), and local regulatory aspects.
• Personal Skills:
  • Strong analytical and investigative skills for solving complex problems.
  • High accuracy and attention to detail when working with numbers.
  • Excellent written and verbal communication skills in both Arabic and English.
  • Ability to work under pressure and meet challenges.
  • Advanced proficiency in Microsoft Office software, especially Excel.
• Personal Attributes: Integrity, high professionalism, and the ability to work as part of a team.

Benefits and Perks

Prime Healthcare Group provides a stimulating and professional work environment with a competitive benefits package aligned with Dubai's job market standards, which may include (according to company policy):

• Competitive monthly salary.
• Health insurance.
• Annual leave package.
• Opportunities for professional development and training.

How to Apply for the Job

Application for this position is primarily conducted through specialized online platforms such as Naukrigulf. Interested candidates who meet the requirements should prepare an updated and clear Curriculum Vitae (CV) in English, highlighting relevant experience in healthcare insurance reconciliation. Please ensure correct contact information is included.

As the detailed description may not be publicly available, applicants are advised to search for the job listing under the title "Senior Insurance Reconciliation Officer" for Prime Healthcare Group in Dubai on reputable platforms and follow the specific application instructions provided within the listing.

Prime Healthcare Group offers an excellent opportunity for ambitious professionals in healthcare administration to join a prestigious institution in Dubai, the heart of advanced healthcare in the region.