
Reconciliation Analyst
14 hours ago
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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