Submission & Resubmission Officer
Job Description
3.1 Review and A udit 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.
Review and audit medical claims
to ensure accuracy.Resubmit rejected claims
in a timely manner. Ensure thatbilling aligns with the agreed price list and provider manual
from insurance companies. Keepbilling officers informed
about claim rejections and ensurecorrective actions
are implemented to prevent recurrence. Handleresubmission of rejected claims
, includingcoordinating with doctors
for justification if necessary, and prepare claims for resubmission.Submit claims with proper codes and format
to insurance companies within the stipulated timeframe.Medical/Nursing graduate
from a recognized university Experience inInsurance Claims Resubmission
Experience inMedical Coding
is preferable * Excellent command oforal and written English
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Job Detail
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Job IdJD2241994
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IndustryNot mentioned
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Total Positions1
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Job Type:Full Time
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Salary:Not mentioned
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Employment StatusPermanent
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Job LocationAbu Dhabi, AZ, AE, United Arab Emirates
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EducationNot mentioned