Payer Relations Revenue Cycle Coordinator

Job Description

Key Responsibilities

• Manage relationships with insurance companies, TPAs, and key payer stakeholders.
• Support payer contract management, renewals, amendments, and provider enrollment processes.
• Coordinate and resolve claim payment issues, escalations, denials, and reimbursement concerns.
• Monitor payer performance and identify trends impacting revenue collection.
• Support revenue cycle activities including claims submission, AR follow-up, collections, and denial management.
• Ensure compliance with DHA, DOH, and insurance regulatory requirements.
• Prepare and analyze reports on denials, collections, payer performance, and revenue cycle metrics.
• Recommend process improvements to enhance operational efficiency and reduce payer-related escalations.

Requirements

• Minimum 5 years of Revenue Cycle Management (RCM) experience, including at least 2-3 years in payer relations, denials management, and insurance/TPA engagement.
• Experience within a hospital, healthcare provider, insurance company, or TPA environment.
• Strong understanding of:
• Payer relations and contract management
• Revenue Cycle Management processes
• Eligibility and benefits verification
• Claims submission, denials, and appeals management
• Accounts receivable follow-up and collections
• UAE billing, coding, pricing, and charge capture processes
• Knowledge of DHA/DOH insurance regulations and healthcare reimbursement policies.
• Experience using healthcare systems such as Cerner, Epic, TrackCare, IQVIA, MyChart, or similar platforms.
• Strong analytical and reporting skills with advanced Excel proficiency.
• Knowledge of Power BI and revenue cycle reporting tools is an advantage.
• Excellent communication, negotiation, stakeholder management, and problem-solving skills.

What We’re Looking For

The successful candidate will demonstrate:

• Strong payer and insurance relationship management skills.
• Ability to analyze denial patterns and revenue trends.
• Experience managing escalations and improving payer performance.
• Excellent communication and conflict resolution abilities.
• A proactive approach to process improvement and operational efficiency.