Insurance Services Officer (Long Term Care experience)

Overview

Facility Overview:

Sheikh Sultan bin Zayed Hospital (SSBZH) is a state-of-the-art healthcare facility in the Northern Emirates run in partnership with M42. This unique collaboration between the civilian and military sectors is an example of a shared commitment to delivering world-class medical care. With access to cutting-edge technologies and the expertise of M42’s renowned network — such as Imperial College London's Diabetes Center, Amana Healthcare, Mubadala Health and Healthpoint — SSBZH is at the forefront of medical innovation.

The hospital is dedicated to improving health outcomes, facilitating access to quality care and addressing the unique needs of the military, their families and the wider community in the Northern Emirates.Focused on creating a healthier future, SSBZH places a strong emphasis on preventative medicine, patient education and specialized healthcare programs tailored to the residents of the Northern Emirates, setting new standards for healthcare excellence in the region.

Job Overview:

This position will play a key role in supporting the finance and insurance teams with essential daily tasks, including processing medical claims, handling authorizations, submissions, and resubmissions. Reporting to the Supervisor, you'll ensure all insurance operations follow M42’s procedures, helping streamline processes and contribute to efficient patient care.

Responsibilities

• Ensure accurate processing of insurance and corporate claims, adhering to contracts for timely reimbursement.
• Provide customer support for insurance verification, eligibility, and preauthorization.
• Collaborate with staff to ensure accurate entry of insurance information and compliance with billing guidelines.
• Maintain organized records and manage claims correspondence with insurance and corporate clients.
• Track payments, manage outstanding balances, and support other departments in the revenue cycle process.
• Analyze claim adjustments, bad debt provisions, and develop reports for performance measurement.
• Contribute to the development and improvement of insurance guidelines and processes.
  
  

Qualifications

• Bachelor’s Degree in Finance, Accounting,Business Administration or related fields.
• At least 2 years of progressive career experience in Insurance environment in a hospital facility.
• Experience in Long Term Care and resubmissions
• Coding Certificate by AAPC or AHIMA is required.