4 Healthcare Management jobs in Abu Dhabi

Healthcare Insurance Supervisor and Revenue Cycle Manager

The successful candidate will oversee the complete medical insurance and revenue cycle processes ensuring efficient claim submission timely reimbursements accurate patient billing and compliance with regulatory requirements.

• Supervise pre-authorization eligibility verification and claims submission processes.
• Ensure accurate documentation coding ICD 10 CPT and adherence to payer guidelines.
• Monitor insurance claims status and follow up on delayed or denied claims to ensure maximum reimbursement.
• Coordinate with insurance companies and TPAs to resolve complex insurance queries or disputes.
• Maintain up-to-date knowledge of insurance policy changes and communicate them to relevant teams.

• Oversee all stages of the revenue cycle from patient registration charge entry and billing to collections and payment posting.
• Analyze revenue cycle metrics DSO AR aging collection rate and take corrective actions as needed.
• Implement strategies to reduce claim denials improve cash flow and increase collection efficiency.
• Conduct regular audits to ensure data integrity billing accuracy and regulatory compliance.
• Work with IT finance and clinical departments to streamline processes and improve system performance.

• Bachelors degree in Healthcare Administration Finance Business or a related field.
• 5 years of experience in health insurance and/or revenue cycle management with at least 3 years in a supervisory role.
• Strong understanding of medical billing coding standards and payer policies.
• Proficiency in healthcare information systems HIS billing software and Microsoft Excel.
• Excellent communication analytical and leadership skills.

Clinical Data Registrar-Operations Management role at Sheikh Shakhbout Medical City - SSMC. The Clinical Data Registrar is responsible for the collection/abstraction of required data bank elements into the clinical program registry database on all patients meeting defined inclusion criteria. The Registrar maintains the confidentiality of the registry data and provides registry data as appropriate for performance monitoring and improvement and research.

• Performs basic data collection of demographics and coding of clinical and follow-up data from all sources into clinical program registry database.
• Interacts with physicians, nurses, and other members of the assigned clinical program team and patients to perform registry functions.
• Determines appropriateness of patient entry into the Clinical Program Registry based on the applicable clinical program guidelines and data standards/dictionary.
• Provides high quality data entry by abstraction of required data elements from the patient chart in real time and retrospectively.
• Participates in quality assurance, data validation (5-10% case files), and improvement activities to ensure accuracy of data collection and timely submission of data according to required standards within and/or across clinical programs as applicable to remain compliant with validation requirements.
• Understands mapping concepts and validates mapping of registry software for reporting requirements.
• Resolves routine coding issues/problems and appropriately seeks assistance from assigned Clinical Program leadership and/or Registry vendor when appropriate.
• Recognizes patterns of mechanism of injury during case abstraction in order to contribute to opportunities for injury prevention and community safety.
• Reports data in formats such as Excel and/or PowerPoint for both internal and external consumption (includes statistical, clinical, and research data).
• Assists with performance improvement projects under the direction of the Operations/Program Manager/Director as indicated.
• Maintains confidentiality of the registry and follows guidelines re: Data Request Management.

• Keeps registry current as per the Standards Set by the Regulatory Bodies, which is currently 80% complete within 60 days of patient discharge.
• Ensures data validation (5-10% case files) with a validity rate of not specified.
• Completes required reporting in required timeframes.
• Responsible for the Trauma and/or Burn Program Data Registry.

Required: Bachelor degree in health related field

Required
Specialist Certifications: Within one year of hire the following are required, if not already certified:

• Recognized Registrar Certification or program
• Injury Scaling Certification
• ICD Coding Certification (current and maintain currency within 5 years)

Desired: Certified Abbreviated Injury Scale Specialist (CAISS) OR Certified Specialist in Trauma Registries (CSTR)

• Required: Work experience of at least two years and knowledge of medical terminology is essential
• Proficiency in utilizing computer applications (Word, Excel, etc.) and data management

Desired: Work experience of at least two years with strong emphasis on data integrity and analysis; Trauma/burn care experience; Previous Registry/Report Writing experience

• Entry level

• Full-time

• Health Care Provider

• Hospitals and Health Care

Clinical Data Registrar-Operations Management role at Sheikh Shakhbout Medical City - SSMC. The Clinical Data Registrar is responsible for the collection/abstraction of required data bank elements into the clinical program registry database on all patients meeting defined inclusion criteria. The Registrar maintains the confidentiality of the registry data and provides registry data as appropriate for performance monitoring and improvement and research.

• Performs basic data collection of demographics and coding of clinical and follow-up data from all sources into clinical program registry database.
• Interacts with physicians, nurses, and other members of the assigned clinical program team and patients to perform registry functions.
• Determines appropriateness of patient entry into the Clinical Program Registry based on the applicable clinical program guidelines and data standards/dictionary.
• Provides high quality data entry by abstraction of required data elements from the patient chart in real time and retrospectively.
• Participates in quality assurance, data validation (5-10% case files), and improvement activities to ensure accuracy of data collection and timely submission of data according to required standards within and/or across clinical programs as applicable to remain compliant with validation requirements.
• Understands mapping concepts and validates mapping of registry software for reporting requirements.
• Resolves routine coding issues/problems and appropriately seeks assistance from assigned Clinical Program leadership and/or Registry vendor when appropriate.
• Recognizes patterns of mechanism of injury during case abstraction in order to contribute to opportunities for injury prevention and community safety.
• Reports data in formats such as Excel and/or PowerPoint for both internal and external consumption (includes statistical, clinical, and research data).
• Assists with performance improvement projects under the direction of the Operations/Program Manager/Director as indicated.
• Maintains confidentiality of the registry and follows guidelines re: Data Request Management.

• Keeps registry current as per the Standards Set by the Regulatory Bodies, which is currently 80% complete within 60 days of patient discharge.
• Ensures data validation (5-10% case files) with a validity rate of not specified.
• Completes required reporting in required timeframes.
• Responsible for the Trauma and/or Burn Program Data Registry.

Required: Bachelor degree in health related field

Required
Specialist Certifications: Within one year of hire the following are required, if not already certified:

• Recognized Registrar Certification or program
• Injury Scaling Certification
• ICD Coding Certification (current and maintain currency within 5 years)

Desired: Certified Abbreviated Injury Scale Specialist (CAISS) OR Certified Specialist in Trauma Registries (CSTR)

• Required: Work experience of at least two years and knowledge of medical terminology is essential
• Proficiency in utilizing computer applications (Word, Excel, etc.) and data management

Desired: Work experience of at least two years with strong emphasis on data integrity and analysis; Trauma/burn care experience; Previous Registry/Report Writing experience

• Entry level

• Full-time

• Health Care Provider

• Hospitals and Health Care