Job Description

This position is critical to identifying discrepancies, reducing revenue leakage, and supporting the timely resolution of outstanding claims.

Key Responsibilities

• Perform daily, weekly, and monthly reconciliation of claims, payments, remittances, and receipts.
• Match submitted claims against insurance payments and identify discrepancies.
• Investigate and resolve variances related to underpayments, unpaid claims, denials, and payer deductions.
• Monitor outstanding balances and coordinate with relevant RCM teams to ensure prompt resolution.
• Reconcile bank deposits, remittance advice, and system transactions where applicable.
• Prepare reconciliation reports and highlight revenue leakage trends and recovery opportunities.
• Work closely with Billing, Coding, Insurance, Finance, and Operations teams to ensure data accuracy.
• Maintain accurate records and provide supporting documentation for audits and management reviews.
• Ensure compliance with hospital policies, payer requirements, and regulatory standards.

Qualifications & Experience

• Bachelor’s degree in Finance, Accounting, Healthcare Administration, or a related field.
• Minimum 2 to 4 years of experience in Revenue Cycle Management, Insurance Reconciliation, Healthcare Finance, or a similar role within a hospital or healthcare setting.
• Strong understanding of healthcare billing, insurance claims, remittances, and payment processes.
• Experience working with hospital information systems and RCM platforms.
• Advanced Excel skills and strong analytical abilities.
• Excellent attention to detail and problem-solving skills.
• Strong communication and stakeholder management skills.
• Experience within the UAE healthcare sector.
• Familiarity with DHA, DOH, and major UAE insurance payers.
• Knowledge of healthcare revenue cycle KPIs and reporting.