Business Analyst – Revenue Cycle Management
by Kings College Hospital London in Healthcare & Medical Services
The role serves as the liaison between clinical operations, finance, and IT teams to support the implementation of Revenue Cycle Management systems across King's College Hospital Dubai and satellite facilities. It focuses on UAE healthcare revenue cycle requirements, DHA regulations, and comprehensive NABIDH standards, ensuring technical and operational alignment with Dubai’s healthcare landscape. Responsibilities include translating clinical and financial workflows into functional and technical specifications, conducting requirements gathering, process analysis, and DHA compliance gap assessments. The position manages BRDs and FRDs aligned to Dubai-specific insurance workflows, Emirates ID integration requirements, and payer connectivity specifications for insurers such as Daman, AXA, Oman Insurance, Dubai Insurance, and Nex. The role involves defining NABIDH integration requirements such as HL7 v2.5.1 messaging, NABIDH MDS compliance, real-time demographic synchronization, SDWAN connectivity, consent management, and audit logging. Additional tasks include system configuration for insurance plan setup, payer contracts, DHA-approved fee schedules, authorization rules, encounter workflow documentation, and payer portal integrations. Testing responsibilities include developing test cases, coordinating UAT, validating NABIDH real-time reporting, verifying DHA regulatory compliance, ensuring coding accuracy (ICD-10-AM, CPT, DRG), and confirming proper claim generation including Saada claim workflows. The role drives reporting and billing intelligence using KPIs for claim acceptance, denial patterns, NABIDH data quality, payer performance, and DHA compliance. It requires staying current with Dubai regulatory and insurer updates, creating SOPs for insurance verification and NABIDH submissions, and supporting change management, training, DHA stakeholder meetings, and payer advisory engagements.