Insurance Coordinator

Required Skills

Requires a Certified Professional Coder credential and a Bachelor's degree in Health Information Management, Nursing, or a related field. Must have at least 2 years of coding and denial management experience in the UAE, strong knowledge of DHA regulations and UAE payer rules, and proficiency in EHR systems, coding tools, and Microsoft Office. Effective communication and analytical skills are essential.

Job description / Role Job Type Full Time Job Location Dubai, UAE Nationality Any Nationality Salary Not Specified Gender Not Specified Arabic Fluency Not Specified Job Function Healthcare Company Industry Healthcare, Pharmaceuticals & Medical Services About Metabolic.Health Metabolic.Health is an integrated metabolic care provider in the UAE. The organization combines clinical care, diagnostics, and data driven models to improve outcomes in diabetes and metabolic health. Role overview The Insurance Coordinator - OP Approvals manages outpatient insurance approvals and authorization workflows. You ensure timely approvals, accurate documentation, and compliance with payer rules. You protect revenue by preventing authorization denials and treatment delays. Key objectives Operational control Ensure all outpatient services receive approvals before treatment. Maintain zero tolerance for unauthorized services. Performance metrics Achieve approval turnaround within payer SLA timelines. Maintain less than 3 percent denial rate due to authorization errors. Compliance Ensure adherence to DHA regulations and payer policies. Maintain complete audit ready authorization records. Core responsibilities Authorization management Verify insurance eligibility and benefits before initiating approval requests. Submit pre authorization requests with complete clinical documentation. Track approvals, extensions, and validity periods to prevent service disruptions. Escalate urgent or delayed approvals to payers and internal leadership. Documentation integrity Ensure physician orders, clinical notes, and diagnostic reports support medical necessity. Validate CPT and ICD coding alignment with requested services. Maintain organized digital records of approvals, correspondence, and payer responses. Payer coordination Liaise with insurance companies and TPAs to expedite approvals. Communicate approval status to front office, clinical teams, and patients. Clarify payer requirements and disseminate updates to relevant teams. Denial prevention and resolution Investigate approval denials and implement corrective actions. Identify trends in authorization rejections and recommend process improvements. Support resubmissions and appeals with enhanced documentation. Systems and reporting Manage authorization workflows within HIS and payer portals such as EclaimLink. Generate daily and monthly reports on approval volumes, turnaround times, and denial trends. Recommend automation opportunities to improve efficiency and tracking. Requirements Certified Professional Coder credential. Bachelor’s degree in Health Information Management, Nursing, or related field. Strong knowledge of DHA regulations and UAE payer rules. Minimum 2 years of coding and denial management experience in the UAE. Proficiency in EHR systems, coding tools, and Microsoft Office. Strong analytical skills and attention to detail. Effective communication with clinical, billing, and insurance teams. Experience in outpatient clinics or specialty centers, preferably endocrinology or metabolic care. Apply Now