Submission & Resubmission Officer

NMC Healthcare
Abu Dhabi
Workplace: HybridFull timeFunction: Administration & Executive AssistanceExperience: 1-3 yearsEducation: bachelorsSkills: ["Accuracy","Problem-solving","Communication","Attention to detail","Reporting"]

Submit and resubmit insurance claims accurately and on time by reviewing denials and correcting issues. Verify claim completeness, coding, and supporting documentation, then monitor claim status and follow up on rejected or returned claims. Investigate rejection/denial reasons with relevant departments, maintain detailed submission records, and ensure compliance with payer guidelines and regulatory requirements. Track submission and resubmission performance through regular reports and support quality improvement to reduce rejection rates.

Loading

Loading job details...

Preparing the role view and application actions.

FursaFursa
NMC Healthcare
NMC Healthcare
1 day ago

Submission & Resubmission Officer

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI
Last checked: 22 hours agoStatus: Live
Reposted: similar role first listed 1 month ago

Job Summary

Submit and resubmit insurance claims accurately and on time by reviewing denials and correcting issues. Verify claim completeness, coding, and supporting documentation, then monitor claim status and follow up on rejected or returned claims. Investigate rejection/denial reasons with relevant departments, maintain detailed submission records, and ensure compliance with payer guidelines and regulatory requirements. Track submission and resubmission performance through regular reports and support quality improvement to reduce rejection rates.
Location: Abu Dhabi
Workplace: Hybrid
Employment Type: Full time
Job Function: Administration & Executive Assistance
Seniority: Entry level

Key Responsibilities

  • •Submit and resubmit claims within established timelines, ensuring completeness and correct coding with supporting documentation.
  • •Review rejected or denied claims and prepare resubmissions after correcting identified issues.
  • •Monitor claim status and follow up on pending, rejected, or returned claims.
  • •Investigate rejection and denial reasons and coordinate with relevant departments to resolve issues.
  • •Maintain accurate records and prepare daily, weekly, and monthly reports on submission activities, rejection trends, and resubmission performance.

Key Requirements

  • •Submit claims and required documentation accurately within established timelines.
  • •Review rejected or denied claims and prepare resubmissions after correcting identified issues.
  • •Verify claim completeness, coding, and supporting documentation before submission.
  • •Ensure compliance with payer guidelines, company policies, and regulatory requirements.
  • •Bachelor's degree or diploma in Healthcare Administration, Medical Records, Business Administration, or a related field.
Experience:1-3 yearsHealthcare operationsRevenue cycle management
Education:Bachelor's
Skills:AccuracyProblem-solvingCommunicationAttention to detailReporting

Company Brief

NMC Healthcare
Operates a large network of hospitals, medical centers, and specialty clinics across the UAE and the wider Middle East. Provides general and specialized healthcare services, diagnostics, and outpatient care for individuals and families.
Industry: Hospitals & Clinics
Company Size: Enterprise (1,001+ employees)
Growth: Established Company
Headquarters: Abu Dhabi, United Arab Emirates
Founded: 1975
WebsiteLinkedIn