Team Leader: Medical Resubmission & Insurance Reconciliation – Dubai Jobs

Al-Futtaim Health is recruiting an experienced Team Lead – Resubmission & Reconciliation to join its Revenue Cycle Management (RCM) team in Dubai. This leadership role is responsible for overseeing the timely resubmission of rejected insurance claims, managing payer reconciliations, and minimizing clinical and technical denials across healthcare operations.

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Job Details

• Job Title: Team Lead – Resubmission & Reconciliation

• Company: Al-Futtaim Health

• Location: Dubai, United Arab Emirates

• Category: Healthcare / Revenue Cycle Management (RCM) & Medical Insurance

• Employment Type: Full-Time / Permanent

Role Overview

The Team Lead will manage the entire claim resubmission lifecycle, mitigate financial risk by analyzing payer payment behaviors, and lead periodic reconciliations (quarterly, semi-annual, and annual) with insurance providers and Third-Party Administrators (TPAs) in strict compliance with Dubai Health Authority (DHA) standards.

Key Responsibilities

• Denial & Resubmission Management: Supervise and accelerate the timely resubmission of eligible Inpatient (IP), Outpatient (OP), and Pharmacy claims backed by valid medical justifications and coding accuracy.

• Clinical Collaboration: Coordinate with physicians and Clinical Documentation Improvement (CDI) specialists to gather clinical justifications for complex rejections and improve medical documentation.

• Process Optimization: Partner with Pre-Authorization, Billing, and Claims Submission teams to eliminate technical denials, streamline root-cause analyses, and implement system validation rules.

• Insurance Reconciliation: Lead quarterly and annual sign-offs and reconciliations with insurance companies and TPAs, identifying defaulting payers and resolving payment discrepancies.

• Team Leadership & KPI Monitoring: Ensure team members meet turnaround time (TAT), quality, and productivity targets through continuous training, auditing, and performance tracking.

• Reporting & Compliance: Maintain detailed, categorized statements of technical and medical denials, reporting financial risk indicators and discrepancy trends directly to the Head of Department (HOD).

Required Qualifications & Skills

• Experience: Minimum 4+ years of specialized experience in a leading medical resubmission, insurance reconciliation, or RCM supervisory role.

• Certifications:

  • Certified Professional Coder (CPC / CCS or equivalent) from a recognized institution.

  • Medical or Paramedical certification/degree.

• Industry Knowledge: Deep familiarity with UAE health insurance frameworks, TPA operations, and DHA billing/coding guidelines.

• Core Competencies: Strong clinical background, advanced payer negotiation skills, financial data analysis, root-cause investigation, and team supervisory capabilities.

How to Apply

Qualified medical coding and healthcare revenue cycle professionals can submit their application directly through the official Al-Futtaim Careers portal for healthcare openings in Dubai, UAE.