Submission & Resubmission Officer NMC healthcare LLC

Employer Active

Posted 50 min ago

Experience

2 - 6 Years

Education

MBA/PG Diploma in Business Mgmt

Nationality

Any Nationality

Gender

Any

Vacancy

1 Vacancy

Job Description

Roles & Responsibilities

  1. Review and Audit Medical Claims to ensure their accuracy.

  2. Resubmission of rejected claims 

  3. Ensure that the agreed price list and provider manual from insurance companies are    followed for billing the service to the respective payers.

  4. Ensure that the Billing officers are updated on time with the rejections and corrective action is taken to avoid such instances in future 

  5. Handling the Resubmission of rejected claims, follow up with respective doctors for justifying the claims if necessary and prepare them for resubmission. 

  6. Submit the claims with proper codes and format to insurance companies within the stipulated time. 

  7. Performs any other jobs or duties assigned by the HOD from time to time within the scope of job title. 

     

  OSH ROLES & RESPONSIBILITIES:

          GENERAL


  1.      Comply with reasonable OSH instructions, policies and safe working procedures 

    1.       Use of appropriate personal protective equipment and safety systems.

    2.       Be familiar with emergency and evacuation procedures

    3.       Not willfully or recklessly endanger anyone’s health and safety

    4.       Assist with the preparation of risk assessments

    5.       Report OSH Hazards, incidents, Near misses and issues

    6.       Reduce, Reuse, Recycling of waste as much as possible

    7.       Attend all OSH Trainings, awareness programs and mock drills.

    8.       Participates in the OSHMS audits, inspections, ensuring standards are maintained


Desired Candidate Profile

  • Qualification: Medical/paramedical (Nursing, Pharmacy, etc.) graduate from a recognized university.

  • Experience: Experience in Insurance Claims management/adjudication (minimum 2 years).

  • Preferred Skill: Experience in Medical Coding is preferable.

  • Language: Excellent command of oral and written English.

Employment Type

    Full Time

Company Industry

Department / Functional Area

Keywords

  • ECTD
  • FDA
  • Regulatory Affairs Associate
  • Compliance
  • Submission Coordinator
  • Regulatory Submissions
  • ICH
  • Regulatory Documentation Specialist

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NMC healthcare LLC

NMC is a diversified business conglomerate. One of the focus areas being Healthcare, with Specialty Hospitals, Medical centres and Clinics across the UAE.

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