Submission & Resubmission Officer
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3.1 Review and Audit Medical Claims to ensure their accuracy.
3.2 Resubmission of rejected claims.
3.4 Ensure that the agreed price list and provider manual from insurance companies are followed for billing the service to the respective payers.
3.5 Ensure that the Billing officers are updated on time with the rejections and corrective action is taken to avoid such instances in future.
3.6 Handling the Resubmission of rejected claims, follow up with respective doctors for justifying the claims if necessary and prepare them for resubmission.
3.7 Submit the claims with proper codes and format to insurance companies within the stipulated time.
Requirements
- β’Review medical claims
- β’Audit medical claims
- β’Resubmit rejected claims
- β’Follow agreed price list
- β’Update billing officers on rejections
- β’Handle claim justifications
- β’Submit claims with proper codes and format
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NMC Health is one of the largest private healthcare providers in the UAE. It operates hospitals, day surgery centers, and clinics across the country.
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