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Submission & Resubmission Officer at NMC Medical Centre

Abu Dhabi, Abu Dhabi Emirate, United Arab Emirates -

Full Time

Start Date

Immediate

Expiry Date

02 Sep, 26

Salary

0.0

Posted On

04 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Claims Auditing, Claims Resubmission, Medical Coding, Billing Compliance, Insurance Payer Guidelines, Claim Adjudication, Medical Record Review, English Communication

Industry

Hospitals and Health Care

Description

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.

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Responsibilities

Review and audit medical claims for accuracy and manage the resubmission of rejected claims according to payer guidelines. Coordinate with doctors for claim justification and ensure billing officers are updated on corrective actions to prevent future rejections.