Resubmission and Reconciliation Officer
Posted date [2026-08-03]
(ID: 48957)
 |
Established in the 1930s as a trading business, Al-Futtaim is one of the most progressive regional family business houses headquartered in Dubai, United Arab Emirates. |
Job Description and Requirements
Resubmission and Reconciliation OfficerJob Snapshot
* Role: Resubmission and Reconciliation Officer
* Location: Dubai, United Arab Emirates
* Industry: Hospital and Health Care
* Function: Claims Processing
* Experience: Minimum 3 years in medical claims resubmission or a similar role
* Job Type: Full-time
Position Overview
Al-Futtaim Health is hiring a Resubmission and Reconciliation Officer in Dubai, United Arab Emirates, for a revenue-cycle position within the Hospital and Health Care industry. The officer will review rejected medical claims, prepare justified resubmissions and reconcile outcomes with insurance companies.
The role supports the recovery of revenue from eligible IP, OP and Pharmacy claims while reducing recurring denials. Close coordination with physicians, billing teams, approvals staff and payers will ensure that submissions meet medical, technical and DHA requirements.
Job Details
Country: United Arab Emirates
City: Dubai
Industry: Hospital and Health Care
Function: Claims Processing
Salary: AED 6000-9000 per
month
Estimated salary range based on similar jobs in Dubai; please confirm the final offer with the employer.
Gender: Any
Candidate Nationality: Any
Job Type: Full-time
Job Requisition ID: 180208
Role Context
Rejected claims can delay payment and create avoidable financial exposure for healthcare providers. This position will determine whether denials arise from clinical documentation, coding, technical submission errors or payer-specific rules before taking corrective action.
The officer will also analyse patterns across insurance companies and help prevent repeated denials. Accurate reconciliation data and effective communication with clinical teams will strengthen revenue-cycle performance and documentation quality.
Key Responsibilities
The role will manage eligible claims through first resubmission, second resubmission and final reconciliation stages.
* Escalate unusual denials and payer issues to the Insurance Manager.
* Resubmit eligible IP, OP and Pharmacy claims within required timelines.
* Attach suitable medical and technical justification to corrected claims.
* Follow up internally on quality-management issues raised to branches.
* Contact payers for clarification regarding rejected submissions.
* Obtain clinical justification from physicians when required.
* Coordinate specialist or technical support for complex cases.
* Work with Insurance Approvals and Claims Submission teams.
* Ensure resubmissions comply with DHA and insurance regulations.
* Monitor resubmission KPIs and maintain supporting records.
* Analyse the root causes of denials by individual payer.
* Create system rules that help prevent recurring rejection patterns.
* Educate billing and approvals teams on process improvements.
* Meet turnaround, quality and productivity targets.
* Coordinate with the Clinical Documentation Improvement team.
* Help physicians and paramedical staff improve claims documentation.
* Maintain monthly resubmission and reconciliation data by insurer.
* Separate medical denials from technical denials in reports.
* Highlight payer payment discrepancies to line management.
* Analyse revenue-cycle data to identify defaulting payers.
* Recommend corrective strategies that reduce financial risk.
Ideal Profile
Applicants must hold a recognised professional medical-coding certificate and a certified medical or paramedical qualification. At least three years of experience in medical claims resubmission, reconciliation or a closely related insurance role is required.
A strong medical background is essential for evaluating clinical denials and communicating effectively with physicians and payers. Candidates should demonstrate confident negotiation, sound decision-making and the ability to analyse complex claim information.
The role also requires operational discipline, clear presentation skills and the ability to maintain accuracy while working under pressure and meeting strict turnaround targets.
Skills Set
* Medical claims resubmission
* Insurance reconciliation
* IP, OP and Pharmacy claims
* Medical coding
* Denial root-cause analysis
* Revenue-cycle management
* DHA claims compliance
* Payer communication and negotiation
* Clinical justification review
* Technical denial analysis
* Claims KPI reporting
* Quality Management System follow-up
* Clinical documentation improvement
* Payment discrepancy analysis
* Financial risk identification
Why Join Us
This role provides direct involvement in protecting healthcare revenue and improving claims performance across a growing clinical network. The successful candidate will work with insurers, physicians, coding specialists and operational teams on complex denial and reconciliation matters.
Al-Futtaim Health offers long-term stability and opportunities to develop deeper expertise in medical coding, payer relations and revenue-cycle analytics. The multidisciplinary environment also creates scope to influence documentation and claims processes across multiple clinics.
About the Company
Al-Futtaim Group is a diversified, privately held regional business operating across automotive, financial services, real estate, retail and healthcare. The Group employs more than 35,000 people in over 20 countries and partners with more than 200 international brands.
Estimated salary range based on similar jobs in Dubai; please confirm the final offer with the employer.
Gender: Any
Candidate Nationality: Any
Job Type: Full-time
Job Requisition ID: 180208
Role Context
Rejected claims can delay payment and create avoidable financial exposure for healthcare providers. This position will determine whether denials arise from clinical documentation, coding, technical submission errors or payer-specific rules before taking corrective action.
The officer will also analyse patterns across insurance companies and help prevent repeated denials. Accurate reconciliation data and effective communication with clinical teams will strengthen revenue-cycle performance and documentation quality.
Key Responsibilities
The role will manage eligible claims through first resubmission, second resubmission and final reconciliation stages.
* Escalate unusual denials and payer issues to the Insurance Manager.
* Resubmit eligible IP, OP and Pharmacy claims within required timelines.
* Attach suitable medical and technical justification to corrected claims.
* Follow up internally on quality-management issues raised to branches.
* Contact payers for clarification regarding rejected submissions.
* Obtain clinical justification from physicians when required.
* Coordinate specialist or technical support for complex cases.
* Work with Insurance Approvals and Claims Submission teams.
* Ensure resubmissions comply with DHA and insurance regulations.
* Monitor resubmission KPIs and maintain supporting records.
* Analyse the root causes of denials by individual payer.
* Create system rules that help prevent recurring rejection patterns.
* Educate billing and approvals teams on process improvements.
* Meet turnaround, quality and productivity targets.
* Coordinate with the Clinical Documentation Improvement team.
* Help physicians and paramedical staff improve claims documentation.
* Maintain monthly resubmission and reconciliation data by insurer.
* Separate medical denials from technical denials in reports.
* Highlight payer payment discrepancies to line management.
* Analyse revenue-cycle data to identify defaulting payers.
* Recommend corrective strategies that reduce financial risk.
Ideal Profile
Applicants must hold a recognised professional medical-coding certificate and a certified medical or paramedical qualification. At least three years of experience in medical claims resubmission, reconciliation or a closely related insurance role is required.
A strong medical background is essential for evaluating clinical denials and communicating effectively with physicians and payers. Candidates should demonstrate confident negotiation, sound decision-making and the ability to analyse complex claim information.
The role also requires operational discipline, clear presentation skills and the ability to maintain accuracy while working under pressure and meeting strict turnaround targets.
Skills Set
* Medical claims resubmission
* Insurance reconciliation
* IP, OP and Pharmacy claims
* Medical coding
* Denial root-cause analysis
* Revenue-cycle management
* DHA claims compliance
* Payer communication and negotiation
* Clinical justification review
* Technical denial analysis
* Claims KPI reporting
* Quality Management System follow-up
* Clinical documentation improvement
* Payment discrepancy analysis
* Financial risk identification
Why Join Us
This role provides direct involvement in protecting healthcare revenue and improving claims performance across a growing clinical network. The successful candidate will work with insurers, physicians, coding specialists and operational teams on complex denial and reconciliation matters.
Al-Futtaim Health offers long-term stability and opportunities to develop deeper expertise in medical coding, payer relations and revenue-cycle analytics. The multidisciplinary environment also creates scope to influence documentation and claims processes across multiple clinics.
About the Company
Al-Futtaim Group is a diversified, privately held regional business operating across automotive, financial services, real estate, retail and healthcare. The Group employs more than 35,000 people in over 20 countries and partners with more than 200 international brands.
