Submission & Resubmission Officer
At a Glance
- Category
- 🏥 Healthcare
- Level
- Mid-Level
- Type
- Full-time
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60 seconds. $5.88 one-time.
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
- •Review and audit medical claims for accuracy
- •Resubmit rejected claims
- •Ensure agreed price list and provider manual are followed
- •Update Billing officers on rejections and corrective actions
- •Handle resubmission of rejected claims
- •Follow up with doctors for claim justification
- •Prepare claims for resubmission
- •Submit claims with proper codes and format within the stipulated time
Nice to Have
- •Strong attention to detail
- •Knowledge of insurance claim procedures
Responsibilities
- •Ensure accuracy of medical claims
- •Manage the process of claim resubmission
- •Maintain compliance with insurance company pricing and provider manuals
- •Facilitate timely corrective actions for billing rejections
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- See the score NMC Healthcare's ATS gives your resume
- Get AI-rewritten bullet points
- Download Gulf-ready CV
60 seconds. $5.88 one-time.
NMC Health is one of the largest private healthcare providers in the UAE. It operates hospitals, day surgery centers, and clinics across the country.