Overview
Submission & Resubmission Supervisor Jobs in Abu Dhabi, UAE/Dubai at NMC healthcare LLC
Key Responsibilities
- Review and audit medical claims to ensure accuracy, completeness, and compliance with payer requirements.
- Manage the resubmission of rejected claims, ensuring all necessary corrections and supporting documentation are provided.
- Ensure adherence to agreed pricing lists, provider manuals, and insurance company guidelines when billing services to respective payers.
- Communicate claim rejections to Billing Officers in a timely manner and implement corrective actions to minimize future occurrences.
- Coordinate with physicians and other stakeholders to obtain clinical justifications and supporting documentation for claim resubmissions when required.
- Submit claims using appropriate coding standards and formats within the stipulated timelines established by insurance companies.
- Maintain compliance with regulatory requirements, payer policies, and organizational standards related to medical claims processing.
- Perform any other duties assigned by the Head of Department (HOD) within the scope of the role.
Occupational Safety & Health (OSH) and Infection Control Responsibilities
- Comply with all OSH and Infection Control policies, procedures, standards, and guidelines.
- Perform duties in accordance with documented OSH procedures, work instructions, and assigned responsibilities.
- Be familiar with emergency response and evacuation procedures.
- Report OSH hazards, incidents, near misses, and safety concerns promptly, and assist in the preparation of risk assessments and incident reports.
- Adhere to waste management policies and procedures.
- Attend mandatory OSH and Infection Control training programs, mock drills, and awareness sessions.
- Utilize appropriate personal protective equipment (PPE) and safety systems as required.
- Cooperate with hospital management to support and maintain a safe and healthy working environment.
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Title: Submission & Resubmission Supervisor
Company: NMC healthcare LLC
Location: Abu Dhabi, UAE/Dubai
Category: