Insurance Coordinator - OP Approvals (Immediate Joiner)
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Key skills for this role
About the Role
Metabolic.Health seeks an Insurance Coordinator to manage outpatient insurance approvals and authorization workflows in Dubai. The role ensures timely approvals, accurate documentation, and compliance with payer rules to prevent denials and treatment delays.
Key Skills for This Role
Responsibilities
- Verify insurance eligibility and benefits before initiating approval requests
- Submit pre authorization requests with complete clinical documentation
- Track approvals, extensions, and validity periods to prevent service disruptions
- Escalate urgent or delayed approvals to payers and internal leadership
- Ensure physician orders, clinical notes, and diagnostic reports support medical necessity
- Validate CPT and ICD coding alignment with requested services
- Maintain organized digital records of approvals, correspondence, and payer responses
- Liaise with insurance companies and TPAs to expedite approvals
- Communicate approval status to front office, clinical teams, and patients
- Investigate approval denials and implement corrective actions
- Identify trends in authorization rejections and recommend process improvements
- Support resubmissions and appeals with enhanced documentation
Requirements
- Certified Professional Coder credential
- Bachelor's degree in Health Information Management, Nursing, or related field
- Strong knowledge of DHA regulations and UAE payer rules
- Minimum 2 years of coding and denial management experience in the UAE
- Proficiency in EHR systems, coding tools, and Microsoft Office
- Strong analytical skills and attention to detail
- Effective communication with clinical, billing, and insurance teams
- Experience in outpatient clinics or specialty centers, preferably endocrinology or metabolic care
Full Job Posting
About Metabolic.Health
- Metabolic.Health is an integrated metabolic care provider in the UAE, combining clinical care, diagnostics, and data driven models to improve outcomes in diabetes and metabolic health.
Role Overview
- The Insurance Coordinator OP Approvals manages outpatient insurance approvals and authorization workflows, ensuring timely approvals, accurate documentation, and compliance with payer rules.
Key Objectives
- Ensure all outpatient services receive approvals before treatment
- Maintain zero tolerance for unauthorized services
- Achieve approval turnaround within payer SLA timelines
- Maintain less than 3 percent denial rate due to authorization errors
- Ensure adherence to DHA regulations and payer policies
- Maintain complete audit ready authorization records
Core Responsibilities
- Verify insurance eligibility and benefits before initiating approval requests
- Submit pre authorization requests with complete clinical documentation
- Track approvals, extensions, and validity periods to prevent service disruptions
- Escalate urgent or delayed approvals to payers and internal leadership
- Ensure physician orders, clinical notes, and diagnostic reports support medical necessity
- Validate CPT and ICD coding alignment with requested services
- Maintain organized digital records of approvals, correspondence, and payer responses
- Liaise with insurance companies and TPAs to expedite approvals
- Communicate approval status to front office, clinical teams, and patients
- Clarify payer requirements and disseminate updates to relevant teams
- Investigate approval denials and implement corrective actions
- Identify trends in authorization rejections and recommend process improvements
Requirements
- Certified Professional Coder credential
- Bachelor's degree in Health Information Management, Nursing, or related field
- Strong knowledge of DHA regulations and UAE payer rules
- Minimum 2 years of coding and denial management experience in the UAE
- Proficiency in EHR systems, coding tools, and Microsoft Office
- Strong analytical skills and attention to detail
- Effective communication with clinical, billing, and insurance teams
- Experience in outpatient clinics or specialty centers, preferably endocrinology or metabolic care
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