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Submission & Resubmission Supervisor 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, Insurance Claims Management, Medical Coding, Claims Resubmission, Billing Compliance, Medical Record Review, OSH Compliance, Infection Control

Industry

Hospitals and Health Care

Description

1. Review and Audit Medical Claims to ensure their accuracy. 1. Resubmission of rejected claims 2. Ensure that the agreed price list and provider manual from insurance companies are followed for billing the service to the respective payers. 3. Ensure that the Billing officers are updated on time with the rejections and corrective action is taken to avoid such instances in future 4. Handling the Resubmission of rejected claims, follow up with respective doctors for justifying the claims if necessary and prepare them for resubmission. 5. Submit the claims with proper codes and format to insurance companies within the stipulated time. 2. Performs any other jobs or duties assigned by the HOD from time to time within the scope of job title. 1. Comply with all OSH and infection control policies, standards and procedures and cooperate with hospital management to comply those requirements 2. Work accordance with the documented OSH procedures and instructions, specific responsibilities 3. Be familiar with emergency and evacuation procedures 4. Notifying OSH Hazards, incidents, Near misses and issues and assistance with the preparation of risk assessments, incident reports 5. Comply with Waste management procedures and policies 6. Attend applicable OSH/Infection control training programs, mock drills and awareness programs 7. Use of appropriate personal protective equipment and safety systems.

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Responsibilities

Supervise the auditing, submission, and resubmission of medical claims to ensure accuracy and compliance with insurance provider manuals. Coordinate with doctors for claim justification and ensure billing officers are updated on corrective actions to reduce rejections.