Specialist - Submission (Tawam Fertility Center)

SEHA (Abu Dhabi Health Services)
Al Ain
Workplace: OnsiteFull timeFunction: Finance & AccountingExperience: 6+ yearsEducation: bachelorsSkills: ["Attention to detail","Compliance monitoring","Customer support","Problem-solving","Communication"]

Manage insurance claims submission end-to-end, ensuring compliance with insurer contract terms, pricing structures, and patient category rules. Validate outpatient services, review inpatient and outpatient claim invoices, and correct or regenerate missed/incorrect invoices. Process claims in the system, follow up on submissions and rejected/unpaid claims, and prepare statements of accounts. Provide support for financial inquiries across patient and specialty clinics while contributing to audits, documentation accuracy, and team process improvements.

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FursaFursa
SEHA (Abu Dhabi Health Services)
SEHA (Abu Dhabi Health Services)
22 hours ago

Specialist - Submission (Tawam Fertility Center)

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Source: Company careers pageValidated by: Fursa AI
Last checked: 13 hours agoStatus: Live

Job Summary

Manage insurance claims submission end-to-end, ensuring compliance with insurer contract terms, pricing structures, and patient category rules. Validate outpatient services, review inpatient and outpatient claim invoices, and correct or regenerate missed/incorrect invoices. Process claims in the system, follow up on submissions and rejected/unpaid claims, and prepare statements of accounts. Provide support for financial inquiries across patient and specialty clinics while contributing to audits, documentation accuracy, and team process improvements.
Location: Al Ain
Workplace: Onsite
Employment Type: Full time
Job Function: Finance & Accounting
Seniority: Mid level

Key Responsibilities

  • •Monitor compliance with insurance company terms, conditions, and contractual agreements
  • •Ensure compliance with facility pricing structures and patient category rules, including self-payer
  • •Assist in collecting and processing claims by validating services and reviewing claim invoices (inpatient and outpatient)
  • •Generate/regenerate missed or incorrect invoices, process claims in the system, and follow up on submissions
  • •Resubmit rejected claims, prepare statements of accounts, and respond to patient and specialty clinic financial inquiries

Key Requirements

  • •6 years of relevant progressive experience in a similar role
  • •Experience in a large healthcare facility
  • •Ability to monitor compliance with insurance company terms, conditions, and contractual agreements
  • •Ability to assist in collecting and processing claims
  • •Ability to validate outpatient services and check inpatient and outpatient claim invoices
Experience:6+ yearsHealthcare
Education:Bachelor's
Skills:Attention to detailCompliance monitoringCustomer supportProblem-solvingCommunication

Company Brief

SEHA (Abu Dhabi Health Services)
SEHA (Abu Dhabi Health Services Company) is the UAE’s largest public healthcare network, operating hospitals, clinics and specialist centres across Abu Dhabi to deliver integrated, patient‑centred medical services and advanced clinical care.
Industry: Hospitals & Clinics
Company Size: Enterprise (1,001+ employees)
Growth: Public Company
Headquarters: Abu Dhabi, United Arab Emirates
Founded: 2007
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