Overview
Submission & Resubmission Officer Jobs in Abu Dhabi, UAE/Dubai at NMC
The Resubmission Officer will be responsible for filing and tracking insurance claims, process insurance and disability claims in a timely manner.
Responsibilities
- Process the resubmission of rejected claims on the system, follow up with respective doctors for justification if necessary, and prepare them for resubmission.
- Ensure that the agreed price list and provider manual from insurance companies are followed for billing the service to the respective payers.
- Ensure that all concerned teams, such as FO, coders, and doctors, are updated on time with the rejections and corrective action is taken to avoid such instances in the future.
- Submit the claims with proper codes and format to insurance companies within the stipulated time.
- Performs any other jobs or duties assigned by the HOD from time to time within the scope of job title.
OSH & Compliance Responsibilities
- Comply with all OSH and infection control policies, standards, and procedures and cooperate with hospital management to comply with those requirements.
- Work in accordance with the documented OSH procedures and instructions, specific responsibilities.
- Be familiar with emergency and evacuation procedures.
- Notify OSH hazards, incidents, near misses, and issues, and assist with the preparation of risk assessments and incident reports.
- Comply with waste management procedures and policies.
- Attend applicable OSH/Infection control training programs, mock drills, and awareness programs.
- Use appropriate personal protective equipment and safety systems.
- Ensure that employees follow applicable OSH/Infection control policies, procedures, and standards.
- Provide OSH information, training, and supervision to staff.
- Report any OSH-relevant incidents, near misses, and hazards in the departments in a timely manner.
- Make sure that incident corrective actions have been implemented.
- Assist with preparation of risk assessments and monitoring the control measures.
- Ensure training is conducted, including general/departmental/FMS/OSH orientation for new employees and transferred employees, as well as refresher training for department staff.
Qualifications
- Medical/paramedical (Nursing, Pharmacy, etc.) graduate from a recognized university.
- Experience in Insurance Claims management/adjudication (minimum 2 years).
- Experience in Medical Coding is preferable.
- Excellent command of oral and written English.
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Title: Submission & Resubmission Officer
Company: NMC
Location: Abu Dhabi, UAE/Dubai
Category: