Job Family Summary: The Reconciliation Manager will oversee and lead the insurance reconciliation process for a large Qatar-based public healthcare client. The role involves managing a team responsible for reconciling outpatient and inpatient claim payments, identifying payment variances, and driving corrective actions across the claims lifecycle. The candidate will act as a subject matter expert in Qatar healthcare payer regulations and will work closely with internal teams and external stakeholders to ensure high-quality reconciliation and financial reporting. Role Summary: The Reconciliation Manager will be responsible for leading the end-to-end insurance reconciliation process for a major public healthcare client in Qatar. This role requires in-depth expertise in analyzing payment variances, resolving underpayments, and ensuring accurate alignment between claims submitted and payments received. The ideal candidate will bring strong knowledge of Qatar healthcare payer processes, regulatory requirements (NHIC/QCHP), and experience in managing a reconciliation team within a provider-side RCM environment. This is a strategic role that involves working cross-functionally with coding, submission, and resubmission teams to improve overall revenue integrity and ensure timely closure of receivables. The position is based at our Chennai (Perungalathur) office, supporting the Qatar operations remotely. Primary Responsibilities: Lead the reconciliation and collections team for Qatar outpatient and inpatient medical claims. Ensure accurate, timely reconciliation of claims against remittances from payers, with a focus on reducing payment gaps. Oversee tracking of underpayments, denials, and delayed reimbursements; drive root cause analysis and process improvement. Coordinate with claims submission, resubmission, and coding teams to support end-to-end RCM effectiveness. Prepare and review reconciliation dashboards and payment status reports for internal and client reviews. Stay updated on Qatar RCM regulations, NHIC/QCHP guidelines, and payer-specific payment rules. Ensure high standards in documentation, audit readiness, and internal controls for all reconciliation activity. Maintain clean claim rates and optimize first-pass resolution. Identify operational gaps and proactively recommend improvements to minimize revenue leakage. Collaborate with client representatives and support any external audits or business reviews. Manage the performance and development of a reconciliation team working in back-office operations. Job Requirements: Bachelors or Master's degree in healthcare, or related field Certification in Medical Coding (CPC, CCS, or equivalent) is required Experience working in provider-end RCM for GCC clients especially Qatar is preferred 10+ years of experience in Healthcare Revenue Cycle Management, including reconciliation, collections, or AR operations Prior experience with Qatar or UAE (Northern Emirates) providers or TPAs is highly preferred Strong knowledge of insurance payment processes, denial types, eClaim standards, and coding (ICD-10, CPT) Proven ability to work with large datasets, ERP systems, and financial reporting tools Excellent command of MS Excel for reconciliation and dashboard preparation Knowledge of Qatars eClaim framework and regulatory guidelines (NHIC, QCHP) Strong people management and team leadership capabilities Attention to detail, analytical thinking, and ability to work independently Excellent verbal and written communication skills

Job Description: We are looking for experienced professionals to join our Qatar Process Provider End team for the role of Resubmission Officer (Outpatient) . The ideal candidate will have a strong understanding of healthcare revenue cycle management, particularly in resubmissions related to outpatient claims. Prior experience in a similar role and familiarity with Qatar-specific guidelines will be highly advantageous. Role & responsibilities Handle outpatient resubmissions for Qatar-based healthcare providers. Review claim rejections and denials and take corrective actions. Coordinate with internal departments to gather required documentation and clarification. Ensure accuracy and compliance with the latest insurance and resubmission guidelines. Maintain detailed documentation for all processed claims and resubmissions. Meet daily/weekly productivity and quality targets. Preferred candidate profile Experience: 25 years in medical billing/resubmission, specifically handling outpatient claims. Domain Expertise: Strong knowledge of resubmission workflow in the Qatar healthcare system (Provider end). Skills: Attention to detail, analytical thinking, effective communication, and working knowledge of claim management Education: Graduate in any discipline. Healthcare-related certifications are a Shift: Day shift (based on Qatar timings)

JOB DESCRIPTION Associate, Coder Job TitleAssociate, Medical Coder (OP)Job FamilyOperationsExternal Job TitleCoder, OP Coder, Medical Coder (OP)Exempt StatusNON-EXEMPTCareer Framework LevelBST1Reporting ToTeam Leader, Coding Job Family Summary: The Operations Department is responsible to manage all aspects of claims management including Onsite operations and back-end processing. The department primarily works on main objective of submitting the claims in time with highest quality to ensure the client receives the payment with minimal or no rejections. Role Summary: Medical Coding is the process where the medical record and claim documentation are checked and medical diagnostics, treatments and procedures (medical services) are converted to universal alphanumeric ICD/ CPT/ HCPCS codes. This is one of the intermediate steps in processing claims. These codes form part of data collection which is used in research, funding and healthcare planning The Associate Coder is responsible for applying the relevant coding to the claims based on the individual providers manual and as per the coding rules governing the specific compliance in relation to coding guidelines for the specific geographical area. Primary Responsibilities: The Coder must undertake a thorough review of applicable documentation to assess the documentation requirement and determine the appropriate ICD-10-CM/ CPT/HCPCS codes to be reported, in conjunction with applicable version of ICD/ CPT Official Guidelines Must observe AMA/ CMS code of ethics while assigning relevant code sets. Reviewing patient medical records and assigning appropriate ICD/CPT/HCPCS codes with relation to medical information and insurance coverage for services rendered. Applying medical coding guidelines with relevant code sets. Aware of denials and non-payment of services in relation incorrect coding. Understand client specific coding guidelines and periodic updates to process the claims in timely manner. Should be able to process multispecialty aspects of Out Patient coding (e.g. E&M, Surgical coding, etc.). Analyze and communicate coding and billing related issue of the healthcare provider to the team leaders. Have complete knowledge of medical coding and billing guidelines To assist with documentation review and raise queries on completeness of patient medical records Job Requirements: Bachelor in Life Sciences or from Para-medical background Active coding certification with updated membership either from AAPC or AHIMA Minimum of 2 years of experience in medical coding and good knowledge of claims processing. UAE experience and multi-specialty coding experience will be an added advantage Key Performance Indicators (KPI's) Meeting the set targets for processing the OP claims Meet the client set KPI for quality and initial rejection rates Maintain 95% of quality in coded claims. Restricted for internal use only DOC# ACCUMED-UAE/Template/HRA-HRM/7060

JOB DESCRIPTION Associate, Coder Job TitleAssociate, Medical Coder (OP)Job FamilyOperationsExternal Job TitleCoder, OP Coder, Medical Coder (OP)Exempt StatusNON-EXEMPTCareer Framework LevelBST1Reporting ToTeam Leader, Coding Job Family Summary: The Operations Department is responsible to manage all aspects of claims management including Onsite operations and back-end processing. The department primarily works on main objective of submitting the claims in time with highest quality to ensure the client receives the payment with minimal or no rejections. Role Summary: Medical Coding is the process where the medical record and claim documentation are checked and medical diagnostics, treatments and procedures (medical services) are converted to universal alphanumeric ICD/ CPT/ HCPCS codes. This is one of the intermediate steps in processing claims. These codes form part of data collection which is used in research, funding and healthcare planning The Associate Coder is responsible for applying the relevant coding to the claims based on the individual providers manual and as per the coding rules governing the specific compliance in relation to coding guidelines for the specific geographical area. Primary Responsibilities: The Coder must undertake a thorough review of applicable documentation to assess the documentation requirement and determine the appropriate ICD-10-CM/ CPT/HCPCS codes to be reported, in conjunction with applicable version of ICD/ CPT Official Guidelines Must observe AMA/ CMS code of ethics while assigning relevant code sets. Reviewing patient medical records and assigning appropriate ICD/CPT/HCPCS codes with relation to medical information and insurance coverage for services rendered. Applying medical coding guidelines with relevant code sets. Aware of denials and non-payment of services in relation incorrect coding. Understand client specific coding guidelines and periodic updates to process the claims in timely manner. Should be able to process multispecialty aspects of Out Patient coding (e.g. E&M, Surgical coding, etc.). Analyze and communicate coding and billing related issue of the healthcare provider to the team leaders. Have complete knowledge of medical coding and billing guidelines To assist with documentation review and raise queries on completeness of patient medical records Job Requirements: Bachelor in Life Sciences or from Para-medical background Active coding certification with updated membership either from AAPC or AHIMA Minimum of 2 years of experience in medical coding and good knowledge of claims processing. UAE experience and multi-specialty coding experience will be an added advantage Key Performance Indicators (KPI's) Meeting the set targets for processing the OP claims Meet the client set KPI for quality and initial rejection rates Maintain 95% of quality in coded claims. Restricted for internal use only DOC# ACCUMED-UAE/Template/HRA-HRM/7060