Job Overview
Al-Futtaim Health is looking for a qualified and experienced Submission Officer to join its healthcare team in Dubai, UAE. This is an excellent opportunity for professionals with a background in medical coding, healthcare insurance claims, and revenue cycle management to develop their careers with a leading healthcare provider in the UAE.
As a Submission Officer, you will be responsible for managing and submitting medical insurance claims accurately and within established deadlines. You will work closely with physicians, insurance approval teams, medical coding specialists, billing departments, and other healthcare stakeholders to improve claims quality, reduce rejection rates, and minimize revenue losses.
The role also involves monitoring insurance payer performance, resolving claim-related queries, ensuring compliance with Dubai Health Authority (DHA) regulations, and improving the overall medical claims submission process.
Key Responsibilities
1. Medical Insurance Claims Submission
- Ensure timely submission of all eligible inpatient (IP), outpatient (OP), and pharmacy insurance claims.
- Verify that submitted claims include accurate medical documentation and appropriate technical justifications.
- Maintain high-quality claim submissions to minimize initial rejections and insurance denials.
- Ensure all claims are processed according to applicable insurance industry standards and DHA regulations.
- Monitor claims submission performance and ensure all activities meet established turnaround time requirements.
- Maintain accurate monthly records of claims submitted to different insurance companies.
2. Claims Quality Management and Denial Reduction
- Review claims submission quality and identify potential issues that may lead to technical or medical denials.
- Work closely with relevant stakeholders to implement claim validation and verification procedures.
- Follow up on Quality Management System (QMS) queries raised by different branches.
- Coordinate with physicians to obtain appropriate clinical justifications for insurance claims.
- Work with the Insurance Approvals and Claims Resubmission teams to reduce claim rejection rates.
- Coordinate with pre-authorization and medical coding teams to resolve coding clarifications and documentation issues.
- Identify recurring claim submission problems and recommend corrective actions.
3. Revenue Cycle Management and Financial Monitoring
- Monitor insurance payer payment patterns and identify potential financial risks.
- Analyze claims-related financial data to identify delayed payments, defaulting payers, and revenue leakage.
- Coordinate with relevant departments to implement corrective measures and minimize financial losses.
- Monitor claim processing performance and support timely resolution of outstanding issues.
- Work with internal teams to improve revenue cycle efficiency and financial performance.
- Maintain accurate claims submission reports and provide relevant performance information when required.
4. Internal Coordination and Process Improvement
- Coordinate with different healthcare branches to ensure timely closure of outstanding claims queries.
- Work closely with physicians, billing teams, insurance approval teams, and medical coding professionals.
- Support complex claims requiring specialist knowledge, technical assistance, or IT support.
- Educate billing and insurance approval teams to improve claims processing and submission procedures.
- Coordinate with the Clinical Documentation Improvement (CDI) team to educate physicians and paramedical professionals on proper medical documentation.
- Identify opportunities to improve workflow efficiency and strengthen the overall claims submission process.
5. KPI Monitoring and Compliance
- Monitor claims submission Key Performance Indicators (KPIs) and maintain accurate performance records.
- Ensure submission targets are achieved within the required turnaround time.
- Maintain high standards of accuracy, productivity, and operational quality.
- Follow healthcare insurance policies, company procedures, and applicable regulatory requirements.
- Support continuous improvement initiatives to enhance claims submission performance.
Required Skills and Competencies
Candidates applying for Submission Officer jobs in Dubai should demonstrate the following skills:
- Strong medical and healthcare background with knowledge of insurance claims processing.
- Good understanding of medical coding, healthcare billing, and insurance reconciliation.
- Strong negotiation and communication skills.
- Excellent analytical and presentation abilities.
- Good decision-making and problem-solving capabilities.
- Strong operational and process management skills.
- Ability to identify claims discrepancies and resolve submission-related issues.
- Understanding of medical insurance requirements and DHA regulations.
- Ability to work under pressure and achieve operational targets.
- Strong coordination and stakeholder management abilities.
- Good attention to detail and commitment to accuracy.
Education and Experience Requirements
- Professional medical coding certification from a recognized institution.
- Certified medical or paramedical qualification.
- Minimum 3+ years of experience in a similar healthcare claims submission or medical insurance role.
- Practical experience in medical claims processing, insurance reconciliation, and revenue cycle management.
- Knowledge of inpatient, outpatient, and pharmacy claims submission procedures.
- Experience coordinating with physicians, insurance companies, medical coding teams, and billing departments.
- Understanding of healthcare insurance regulations and claims documentation requirements.
About Al-Futtaim Health
Al-Futtaim Health is the healthcare division of the Al-Futtaim Group, providing integrated and community-based healthcare services across the UAE.
Through its HealthHub network, Al-Futtaim Health operates more than 12 clinics across Dubai, supported by a Day Surgery Centre, Al-Futtaim Health Labs, pharmacies, home healthcare services, and digital health solutions.
With more than 25 medical specialties and a multidisciplinary team of over 150 specialist physicians and healthcare professionals, Al-Futtaim Health is committed to delivering accessible, high-quality healthcare while promoting clinical excellence, preventive care, and healthcare innovation..