Submission & Resubmission Officer
At a Glance
- Category
- 🏥 Healthcare
- Level
- Mid-Level
- Type
- Full-time
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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.
Responsibilities
- •Review and audit medical claims to ensure accuracy
- •Handle resubmission of rejected claims
- •Ensure agreed price lists and provider manuals from insurance companies are followed for billing
- •Update billing officers on rejections and coordinate corrective actions
- •Follow up with doctors for claim justifications where necessary
- •Submit claims with proper codes and formats to insurance companies within stipulated timelines
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Guides for this role
- See if your CV layout works for NMC Healthcare
- Get every weak line rewritten
- Download a CV written for the Gulf
Free check in 60 seconds. Fixes $5.88 one-time, only if you want them.
NMC Health is one of the largest private healthcare providers in the UAE. It operates hospitals, day surgery centers, and clinics across the country.