Revenue Cycle Management Coordinator

Job Description

King’s College Hospital London – Dubai is seeking a motivated and detail-oriented Revenue Cycle Management (RCM) Coordinator to support our dynamic RCM department. This role spans three core functions: Pre-Authorization, Claims Operations, and Payer Relations, offering a unique opportunity for career development through cross-functional exposure and structured rotations.

The successful candidate will be assigned to one of the teams based on their background and experience, with opportunities for annual rotation to enhance skills and professional growth.

Key Responsibilities

Pre-Authorization

• Secure insurance approvals within defined turnaround times (OP: 24 hours; IP: 24–48 hours)
• Submit approval requests promptly and escalate delays
• Prepare cost estimates for insured and self-paying patients
• Maintain approval trackers and insurance master data
• Support training and provide updates on insurance policies
• Ensure effective communication with clinics and stakeholders

Claims Operations

• Manage timely and accurate claim submissions across hospital facilities
• Oversee electronic billing processes and XML file generation
• Ensure high-quality claim dispatch to reduce rejections
• Identify coding or tariff discrepancies and escalate accordingly
• Review claims for completeness and resolve submission issues
• Prepare reports and monitor claim submission performance
• Support onboarding and training of new team members

Payer Relation

• Assist in payer onboarding, credentialing, and network management
• Maintain insurance network records and contract documentation
• Support tariff updates and maintain pricing repositories
• Act as a liaison between internal teams and insurance partners
• Track contract renewals and payer communications
• Prepare reports and maintain dashboards for management review

Quality, Safety & Compliance

• Adhere to JCIA standards, hospital policies, and regulatory requirements
• Maintain accurate documentation and data confidentiality
• Participate in audits, training, and quality improvement initiatives
• Ensure compliance with safety, infection control, and cybersecurity policies
• Uphold ethical standards and patient-centered care principles

Qualifications & Experience

• Bachelor’s degree in any discipline (Healthcare-related field preferred)
• Medical Coding Certification (CPC) is an advantage
• Minimum 2 years of UAE experience in Pre-Authorization, Claims, or Payer Relations

Skills & Competencies

• Strong knowledge of medical terminology and healthcare processes
• Excellent communication and stakeholder management skills
• Proficiency in MS Office and healthcare systems
• High attention to detail and ability to manage multiple priorities
• Problem-solving mindset with strong organizational skills
• Ability to work in a fast-paced, dynamic environment
• High level of professionalism, integrity, and confidentiality