Officer, Insurance Services

M42 — Overview M42 delivers comprehensive healthcare services across the full continuum of care; from primary care to advanced specialty treatments. Leveraging cutting-edge health technologies and precision medicine, we ensure the highest standards of effectiveness, efficiency, and patient-centered outcomes. With a global presence spanning more than 480 facilities in 27 countries and a dedicated workforce of over 20,000 professionals, M42 is uniquely positioned to redefine the future of healthcare on a global scale. Sheikh Sultan bin Zayed Hospital is a state-of-the-art hospital serving Abu Dhabi’s Northern Emirates. With 200+ beds and JCI accreditation, it delivers world-class, community-focused care. By leveraging cutting-edge technologies and the expertise of M42’s renowned network (including Imperial College London Diabetes Centre, Amana Healthcare, Mubadala Health Dubai, and Healthpoint), SSBZH stands 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 military personnel, their families, and the broader community in the Northern Emirates. 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. Preferrably with experience in pre-authorization. Coding Certificate by AAPC or AHIMA is required.

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. Coding Certificate by AAPC or AHIMA is required.

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.