# Insurance Manager — Almoosa Health Group

Canonical: https://jobxdubai.com/jobs/b15b1fba-insurance-manager
Location: Al Ahsa, Saudi Arabia
Type: full_time · Level: lead
Monthly salary: AED 11,760 to 17,640 per month (estimated, not employer-stated) (UAE salaries are tax-free)
Posted: 2026-09-15
Apply: https://careers.almoosahealthgroup.org/jobs/insurance-manager

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## Description

The Insurance Manager – JHAH Account is responsible for managing and overseeing the end-to-end insurance operations for the JHAH account, ensuring timely and accurate insurance approvals, claims submission, follow-up, reconciliation, and collections. The role ensures compliance with JHAH requirements, insurance policies, contractual agreements, and applicable healthcare regulations while maximizing revenue recovery and minimizing claim denials and financial losses.

Requirements:
Responsibilities
- Manage the end-to-end insurance revenue cycle activities for the JHAH account, from eligibility and authorization through claims submission, reconciliation, and collection.
- Oversee insurance verification, eligibility checks, pre-authorizations, and approvals for inpatient, outpatient, emergency, and other healthcare services.
- Ensure accurate and timely submission of medical claims in accordance with JHAH contractual requirements and agreed billing procedures.
- Monitor claim status, outstanding receivables, rejected claims, and denied claims, ensuring timely resolution and follow-up.
- Analyze denial trends and identify root causes, implementing corrective actions to reduce claim rejection and improve revenue recovery.
- Ensure accurate coordination between Revenue Cycle Management, Medical Departments, Coding, Billing, Finance, and other relevant stakeholders.
- Maintain effective communication with JHAH representatives and relevant insurance stakeholders to resolve billing, authorization, and claims-related issues.
- Monitor account receivables and collection performance, providing regular reports and updates to senior management.
- Ensure compliance with contractual terms, payer policies, healthcare regulations, and internal policies and procedures.
- Review and monitor insurance-related KPIs, including authorization turnaround time, clean claim rate, denial rate, collection performance, and outstanding receivables.
- Develop and implement process improvements to enhance insurance operations, reduce revenue leakage, and improve cash flow.
- Lead, supervise, and develop the insurance team, ensuring appropriate workload distribution, performance management, and adherence to operational standards.
- Coordinate with clinical and administrative departments to ensure complete and accurate documentation required for insurance approvals and claims processing.
- Support audits and provide required insurance, claims, and financial documentation to internal and external stakeholders.
- Prepare management reports, dashboards, and performance analysis related to the JHAH account.
- Identify operational risks and escalate critical issues affecting revenue, claims, or contractual compliance to senior management.
- Perform other duties related to insurance and revenue cycle management as assigned.
Qualifications
- Bachelor’s degree in Healthcare Administration, Health Information Management, Business Administration, Finance, Accounting, or a related field.
- Professional certification in Healthcare Revenue Cycle Management, Medical Billing, or Insurance is preferred.
- Knowledge of Saudi healthcare insurance regulations and payer requirements.
- Strong knowledge of medical claims, pre-authorization, eligibility verification, denials management, and accounts receivable processes.
Experience
- Minimum 5–7 years of experience in healthcare insurance, revenue cycle management, medical billing, or claims management.
- Proven experience managing hospital insurance operations and major healthcare payer accounts.
- Experience with JHAH account requirements and processes is highly preferred.
- Previous supervisory or managerial experience in a healthcare organization is required.

## Requirements

Responsibilities
- Manage the end-to-end insurance revenue cycle activities for the JHAH account, from eligibility and authorization through claims submission, reconciliation, and collection.
- Oversee insurance verification, eligibility checks, pre-authorizations, and approvals for inpatient, outpatient, emergency, and other healthcare services.
- Ensure accurate and timely submission of medical claims in accordance with JHAH contractual requirements and agreed billing procedures.
- Monitor claim status, outstanding receivables, rejected claims, and denied claims, ensuring timely resolution and follow-up.
- Analyze denial trends and identify root causes, implementing corrective actions to reduce claim rejection and improve revenue recovery.
- Ensure accurate coordination between Revenue Cycle Management, Medical Departments, Coding, Billing, Finance, and other relevant stakeholders.
- Maintain effective communication with JHAH representatives and relevant insurance stakeholders to resolve billing, authorization, and claims-related issues.
- Monitor account receivables and collection performance, providing regular reports and updates to senior management.
- Ensure compliance with contractual terms, payer policies, healthcare regulations, and internal policies and procedures.
- Review and monitor insurance-related KPIs, including authorization turnaround time, clean claim rate, denial rate, collection performance, and outstanding receivables.
- Develop and implement process improvements to enhance insurance operations, reduce revenue leakage, and improve cash flow.
- Lead, supervise, and develop the insurance team, ensuring appropriate workload distribution, performance management, and adherence to operational standards.
- Coordinate with clinical and administrative departments to ensure complete and accurate documentation required for insurance approvals and claims processing.
- Support audits and provide required insurance, claims, and financial documentation to internal and external stakeholders.
- Prepare management reports, dashboards, and performance analysis related to the JHAH account.
- Identify operational risks and escalate critical issues affecting revenue, claims, or contractual compliance to senior management.
- Perform other duties related to insurance and revenue cycle management as assigned.
Qualifications
- Bachelor’s degree in Healthcare Administration, Health Information Management, Business Administration, Finance, Accounting, or a related field.
- Professional certification in Healthcare Revenue Cycle Management, Medical Billing, or Insurance is preferred.
- Knowledge of Saudi healthcare insurance regulations and payer requirements.
- Strong knowledge of medical claims, pre-authorization, eligibility verification, denials management, and accounts receivable processes.
Experience
- Minimum 5–7 years of experience in healthcare insurance, revenue cycle management, medical billing, or claims management.
- Proven experience manag

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