Submission Officer (Corniche Hospital)

SEHA (Abu Dhabi Health Services)
Abu Dhabi
Workplace: OnsiteFull timeFunction: Healthcare (Clinical, Medical, Wellness)Experience: 2-4 yearsEducation: bachelorsSkills: ["Compliance","Customer service","Attention to detail","Problem-solving","Process improvement"]

Manage and monitor healthcare insurance claims and billing processes to ensure compliance with insurance policies, contractual terms, and facility pricing guidelines. Validate and process inpatient and outpatient claims, resolve rejected or unpaid claims, generate corrected invoices, and prepare statements of accounts. Provide financial support to patients and specialty clinics, address billing inquiries, and follow up submissions with insurers while contributing to process improvement initiatives.

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FursaFursa
SEHA (Abu Dhabi Health Services)
SEHA (Abu Dhabi Health Services)
2 months ago

Submission Officer (Corniche Hospital)

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Source: Company careers pageValidated by: Fursa AI
Last checked: 8 hours agoStatus: Live

Job Summary

Manage and monitor healthcare insurance claims and billing processes to ensure compliance with insurance policies, contractual terms, and facility pricing guidelines. Validate and process inpatient and outpatient claims, resolve rejected or unpaid claims, generate corrected invoices, and prepare statements of accounts. Provide financial support to patients and specialty clinics, address billing inquiries, and follow up submissions with insurers while contributing to process improvement initiatives.
Location: Abu Dhabi
Workplace: Onsite
Employment Type: Full time
Job Function: Healthcare (Clinical, Medical, Wellness)
Seniority: Mid level

Key Responsibilities

  • •Monitor compliance with insurance terms and contractual agreements.
  • •Ensure compliance with facility pricing structure rules for patient categories, including self-payer.
  • •Assist in collecting and processing insurance claims, including validating outpatient services.
  • •Check and generate inpatient and outpatient claim invoices, including missed/incorrect invoices and resubmissions of rejected claims.
  • •Prepare statements of accounts, respond to financial inquiries, and follow up claim submissions with insurance companies.

Key Requirements

  • •Bachelor's Degree or Diploma in a related field (medical/health science).
  • •AAPC or AHIMA certification (special certificate).
  • •2-4 years of relevant progressive experience in a similar role.
  • •Experience in a large healthcare facility.
  • •Ability to validate and process inpatient and outpatient claims and invoices.
Experience:2-4 yearsHealthcare
Education:Bachelor's in medical/health science
Skills:ComplianceCustomer serviceAttention to detailProblem-solvingProcess improvement
Certifications:AAPCAHIMA

Company Brief

SEHA (Abu Dhabi Health Services)
SEHA (Abu Dhabi Health Services Company) is the UAE’s largest public healthcare network, operating hospitals, clinics and specialist centres across Abu Dhabi to deliver integrated, patient‑centred medical services and advanced clinical care.
Industry: Hospitals & Clinics
Company Size: Enterprise (1,001+ employees)
Growth: Public Company
Headquarters: Abu Dhabi, United Arab Emirates
Founded: 2007
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