NMC Healthcare
Submission & Resubmission Officer
🇦🇪 Abu Dhabi, UAE🔄 Hybrid
Medical BillingClaims ProcessingInsuranceRevenue Cycle ManagementReporting
At a Glance
- Category
- 🏥 Healthcare
- Level
- Mid-Level
- Type
- Full-time
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- Submit claims and required documentation accurately and within established timelines.
- Review rejected or denied claims and prepare resubmissions after correcting identified issues.
- Verify claim completeness, coding, and supporting documentation before submission.
- Monitor claim status and follow up on pending, rejected, or returned claims.
- Investigate rejection and denial reasons and coordinate with relevant departments to resolve issues.
- Maintain accurate records of submissions, resubmissions, and claim outcomes.
- Ensure compliance with payer guidelines, company policies, and regulatory requirements.
- Communicate with insurance companies, third-party administrators (TPAs), and internal stakeholders regarding claim status and requirements.
- Prepare daily, weekly, and monthly reports on submission activities, rejection trends, and resubmission performance.
- Escalate complex or recurring issues to the Team Lead or Manager.
- Participate in quality improvement initiatives to reduce rejection rates and improve first-pass claim acceptance.
- Stay updated on changes in payer requirements, coding guidelines, and submission processes.
Requirements
- •Verify claim completeness, coding, and supporting documentation
- •Ensure compliance with payer guidelines and company policies
- •Stay updated on changes in payer requirements and coding guidelines
Nice to Have
- •Participate in quality improvement initiatives to reduce rejection rates
Responsibilities
- •Submit claims and required documentation accurately and within timelines
- •Review rejected or denied claims and prepare resubmissions
- •Monitor claim status and follow up on pending, rejected, or returned claims
- •Investigate rejection reasons and coordinate with departments to resolve issues
- •Maintain accurate records of submissions and claim outcomes
- •Communicate with insurance companies, TPAs, and internal stakeholders
- •Prepare daily, weekly, and monthly reports on submission activities
- •Escalate complex or recurring issues to the Team Lead or Manager
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Quick CV Check
- Get your ATS score for NMC Healthcare in 30 seconds
- Get AI-rewritten bullet points
- Download Gulf-ready CV
60 seconds. $5.88 one-time.
GCC Info
Company
NMC Healthcare
5000+ employees
NMC Health is one of the largest private healthcare providers in the UAE. It operates hospitals, day surgery centers, and clinics across the country.