Insurance Coordinator

About the Company

Metabolic.Health is an integrated metabolic care provider in the UAE. The organization combines clinical care, diagnostics, and data driven models to improve outcomes in diabetes and metabolic health.

Responsibilities

• Verify insurance eligibility and benefits before initiating approval requests
• Submit pre authorization requests with complete clinical documentation
• Track approvals, extensions, and validity periods to prevent service disruptions
• Escalate urgent or delayed approvals to payers and internal leadership
• Ensure physician orders, clinical notes, and diagnostic reports support medical necessity
• Validate CPT and ICD coding alignment with requested services
• Liaise with insurance companies and TPAs to expedite approvals
• Investigate approval denials and implement corrective actions
• Manage authorization workflows within HIS and payer portals such as EclaimLink
• Generate daily and monthly reports on approval volumes and denial trends

Requirements

• Certified Professional Coder credential
• Bachelor’s degree in Health Information Management, Nursing, or related field
• Strong knowledge of DHA regulations and UAE payer rules
• Minimum 2 years of coding and denial management experience in the UAE
• Proficiency in EHR systems, coding tools, and Microsoft Office
• Experience in outpatient clinics or specialty centers