Senior Officer - Funder Relations
- أبو ظبي
- دائم
- دوام كامل
- Assist in coordinating communication between NMC and insurance/corporate companies/funders regarding contract, contract terms, facility empanelment addition, deletion, NMC bank accounts, doctor profile, new service addition and price revision etc.,
- Support the resolution of claim rejections, short payments, and pre-authorization issues by liaising with internal stakeholders and payers.
- Support the resolution of price revision updates by liaising with internal stakeholders (IT) and payers.
- Maintain up-to-date records of funder correspondence, contract registers, and key account documentation.
- Monitor funder response times and escalate delays to the Funder Relations Manager.
- Help track funder performance indicators (e.g., claim acceptance, turnaround time, denial rates).
- Schedule and coordinate meetings between NMC management and funder representatives.
- Prepare reports and summaries related to funder activity and performance for review by senior management.
- Collaborate with revenue cycle, billing, coding, and clinical teams to resolve funder-related issues impacting revenue realization.
- Ensure compliance with DHA/DOH regulations regarding insurance and third-party administration.
- Bachelor's degree in Healthcare Administration, Business, Finance, or related field.
- 2-4 years of experience in payer relations, healthcare revenue cycle, or managed care within a hospital or multi-facility provider.
- Solid understanding of UAE healthcare insurance landscape
- Working knowledge of claims processes, CPT/ICD coding, denial management, and reimbursement policies.
- Experience with hospital information systems (HIS), claims platforms, or EMR software is a plus.