Location
dubai
Job Type
Full-time
Posted
July 18, 2026
Job Description
Responsibilities
- Monitor internal and external audits related to claims, payments, and refunds
- Conduct periodic audits of payer contracts and payment activity to ensure compliance with MFN laws
- Identify and upscale discrepancies in payment rates, coding, and authorization processes
- Review and process refund requests from payers and patients
- Ensure timely and accurate posting of payments and resolution of denials
- Validate that payments align with negotiated payer contracts and MFN provisions
- Collaborate with legal, contracting, appeals, and market access teams
- Stay current on federal and state regulations impacting payment integrity
- Assist in preparing responses to regulatory inquiries and payer audits
Requirements
- Bachelor’s degree in healthcare administration, finance, or related field
- 3–5 years of experience in medical billing, payment integrity, or payer c...