Reconciliation Analyst

14 hours ago

Chennai, Tamil Nadu, India Accumed Full time ₹ 6,00,000 - ₹ 12,00,000 per year

Primary Responsibilities

  • Audit, process, and resubmit rejected/underpaid claims after thorough investigation and justification.
  • Identify discrepancies in medical & technical claim denials and appeal them within deadlines to maximize revenue.
  • Ensure compliance with UAE insurance, HAAD, Riayati & DHA guidelines.
  • Meet daily productivity and quality targets with high accuracy.
  • Provide feedback on rejection trends to minimize future claim denials.
  • Process high-value and critical error claims with due diligence and proper documentation.
  • Train and audit claims of new joiners.
  • Coordinate with internal and external teams to resolve claim-related issues.
  • Maintain professional communication, ethical standards, and proper documentation in all processes.

Preferred candidate profile

  • Bachelors Degree in Medicine (MBBS) or any bachelor's degree in a medical field (mandatory).
  • 3–5 years' experience in medical claims processing with a provider/payer/TPA in the UAE.
  • Minimum 2 years' experience in handling resubmissions/reconciliation.
  • Strong knowledge of UAE insurance protocols and coding guidelines.
  • Proficiency in ICD, CPT codes, and medical auditing practices.
  • Advanced proficiency in MS Office (especially Excel).
  • Strong problem-solving, conflict-resolution, and analytical skills.
  • Ability to meet deadlines, maintain accuracy (98%+) and ensure compliance with coding/business rules.
  • Excellent communication and teamwork skills.

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