Reconciliation Associate
Fatorah
Employer Active
Posted 4 hrs ago
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Experience
2 - 4 Years
Job Location
Education
Any Graduation()
Nationality
Any Nationality
Gender
Not Mentioned
Vacancy
1 Vacancy
Job Description
Roles & Responsibilities
Job Location
United Arab Emirates
Experience
2 to 4 years
Qualification Level
Graduate
Job Function
Insurance / Claims
Skillset
knowledge of UAE insurance protocols, claim processing guidelines
Preferred Jobseekers
Locally available candidates only apply for this job
Experience: Minimum 2 years
Qualification: Bachelor s Degree in Medicine (MBBS) or any medical-related field
Location: Abu Dhabi, United Arab Emirates
Company: Accumed
Description:
Job Vacancy: Reconciliation Associate (OP IP)
Accumed is seeking a meticulous and analytical Reconciliation Associate to join the Insurance Relationship Management team in Abu Dhabi. This role is ideal for professionals experienced in handling medical claims, performing reconciliations, and managing payer resubmissions to maximize revenue recovery.
Role Overview:
As a Reconciliation Associate, you will audit, analyze, and resubmit rejected claims while ensuring accuracy, compliance with coding standards, and adherence to insurance regulations. You will proactively identify discrepancies and contribute to maintaining smooth claims processing workflows.
Key Responsibilities:
Audit and process all types of rejected claims (OP/IP) and resubmit them with accurate justifications.
Identify denied or underpaid claims and initiate timely appeals in accordance with payer guidelines.
Ensure all claims comply with coding rules, regulatory requirements, and insurance standards.
Maintain daily, weekly, and monthly reconciliation reports as required by the team.
Achieve productivity and quality targets set by management.
Analyze claim issues and rejection trends, providing recommendations to reduce recurring errors.
Coordinate with internal departments to ensure timely resolution and submission of claims.
Uphold medical ethics and maintain high-quality documentation in all claim-related decisions.
Requirements:
Bachelor s Degree in Medicine (MBBS) or relevant medical field.
Minimum 2 years of experience in medical claims resubmission and reconciliation within the UAE.
Strong knowledge of UAE insurance protocols and claim processing guidelines.
Understanding of reconciliation TAT, denial analysis, and claim verification processes.
Excellent analytical, organizational, and communication skills.
Ability to work under pressure, meet deadlines, and handle high-volume claim workloads.
Performance Expectations:
Ensure 100% accuracy in reconciliation and claim verification.
Timely compilation of reports and resubmission within required TAT.
Proactively escalate recurring rejection trends and issues.
Consistently meet productivity and quality targets.
Company Industry
- Consulting
- Management Consulting
- Advisory Services
Department / Functional Area
- Administration
Keywords
- Reconciliation Associate
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