Al Futtaim Group

14 hours ago

Submission Officer | Al Futtaim Health | Healthcare (AE)

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI

Last checked: 14 hours agoStatus: Live

Job Summary

Manage timely submission of eligible IP, OP, and Pharmacy claims with proper medical and technical justifications. Improve claim quality to minimize initial denials and work with stakeholders to address technical and medical denials. Coordinate with preauthorization, coding, insurance approvals, and claims re-submission teams, ensuring compliance with insurance industry and DHA regulations. Track submission KPIs, maintain monthly claims data, educate billing/approval teams, and analyze revenue-cycle financial data to reduce payer-related financial risk.

Location: United Arab Emirates

Workplace: Onsite

Employment Type: Full time

Job Function: Healthcare (Clinical, Medical, Wellness)

Key Responsibilities

•Ensure timely submissions of all eligible IP, OP, and Pharmacy claims with proper medical and technical justification.
•Follow up on raised QMS with concerned branches and coordinate with insurance approvals and claims re-submission teams to minimize denials.
•Interact with physicians for clinical justification and coordinate with CDI and other teams to ensure correct claims documentation.
•Ensure claims are handled according to insurance industry and DHA regulations while meeting submission KPIs, targets, and turnaround times.
•Maintain submission KPI records and accurate monthly data per insurance company; analyze revenue-cycle financial data to identify defaulting payers and corrective strategies.

Key Requirements

•Certified professional coding certificate from a reputed institution.
•Certified medical/paramedical certificate.
•Minimum 3+ years’ experience in a similar role.
•Strong medical background to handle reconciliation efficiently.
•Strong negotiation and soft skills, with strong presentation and analytical ability.

Experience:3+ years

Skills:NegotiationSoft skillsPresentationAnalytical skillsDecision-makingOperational thinkingAbility to work under pressureDedication

Certifications:Professional coding certificateMedical/paramedical certificate

Company Brief

Al Futtaim Group

Al-Futtaim Group is a diversified UAE conglomerate operating across automotive, retail, real estate, finance and services, representing 200+ global brands and serving customers across 20+ countries with over 40,000 employees.

Industry: Conglomerates & Holding Companies

Company Size: Enterprise (1,001+ employees)

Growth: Established Company

Funding: Bootstrapped

Headquarters: Dubai, United Arab Emirates

Glassdoor: 3.6

Website LinkedIn Glassdoor

Loading job details...

Preparing the role view and application actions.

Al Futtaim Group

14 hours ago

Submission Officer | Al Futtaim Health | Healthcare (AE)

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI

Last checked: 14 hours agoStatus: Live

Job Summary

Location: United Arab Emirates

Workplace: Onsite

Employment Type: Full time

Job Function: Healthcare (Clinical, Medical, Wellness)

Key Responsibilities

•Ensure timely submissions of all eligible IP, OP, and Pharmacy claims with proper medical and technical justification.
•Follow up on raised QMS with concerned branches and coordinate with insurance approvals and claims re-submission teams to minimize denials.
•Interact with physicians for clinical justification and coordinate with CDI and other teams to ensure correct claims documentation.
•Ensure claims are handled according to insurance industry and DHA regulations while meeting submission KPIs, targets, and turnaround times.
•Maintain submission KPI records and accurate monthly data per insurance company; analyze revenue-cycle financial data to identify defaulting payers and corrective strategies.

Key Requirements

•Certified professional coding certificate from a reputed institution.
•Certified medical/paramedical certificate.
•Minimum 3+ years’ experience in a similar role.
•Strong medical background to handle reconciliation efficiently.
•Strong negotiation and soft skills, with strong presentation and analytical ability.

Experience:3+ years

Skills:NegotiationSoft skillsPresentationAnalytical skillsDecision-makingOperational thinkingAbility to work under pressureDedication

Certifications:Professional coding certificateMedical/paramedical certificate

Company Brief

Al Futtaim Group

Industry: Conglomerates & Holding Companies

Company Size: Enterprise (1,001+ employees)

Growth: Established Company

Funding: Bootstrapped

Headquarters: Dubai, United Arab Emirates

Glassdoor: 3.6

Website LinkedIn Glassdoor