Submission & Resubmission Officer

NMC Healthcare
Abu Dhabi
Workplace: OnsiteFull timeFunction: Administration & Executive AssistanceExperience: 2+ yearsEducation: bachelorsSkills: ["Attention to detail","Communication","Problem-solving","Documentation","Compliance"]

Review and audit medical insurance claims to ensure they are accurate and complete. Handle resubmission of rejected claims by coordinating corrective actions with Billing Officers and obtaining doctor justifications when needed. Follow agreed price lists and insurer manuals, submit properly coded claims within timelines, and ensure ongoing compliance with OSH and infection-control policies, including hazard reporting and participation in required training.

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FursaFursa
NMC Healthcare
NMC Healthcare
2 days ago

Submission & Resubmission Officer

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Source: Company careers pageValidated by: Fursa AI
Last checked: 17 hours agoStatus: Live
Reposted: similar role first listed 1 month ago

Job Summary

Review and audit medical insurance claims to ensure they are accurate and complete. Handle resubmission of rejected claims by coordinating corrective actions with Billing Officers and obtaining doctor justifications when needed. Follow agreed price lists and insurer manuals, submit properly coded claims within timelines, and ensure ongoing compliance with OSH and infection-control policies, including hazard reporting and participation in required training.
Location: Abu Dhabi
Workplace: Onsite
Employment Type: Full time
Job Function: Administration & Executive Assistance
Seniority: Mid level

Key Responsibilities

  • •Review and audit medical claims for accuracy and completeness.
  • •Resubmit rejected insurance claims and track their status.
  • •Ensure agreed price lists and insurance provider manuals are followed for billing to payers.
  • •Coordinate with doctors to obtain justifications for rejected claims and prepare them for resubmission.
  • •Comply with OSH and infection control policies, report hazards/incidents, and support required training and corrective actions.

Key Requirements

  • •Bachelor’s degree or equivalent in a Medical/Paramedical field (e.g., Nursing, Pharmacy, or related) from a recognized university.
  • •Minimum 2 years of experience in Insurance Claims Management/Adjudication.
  • •Medical Coding experience preferred.
  • •Excellent command of spoken and written English.
  • •Ability to comply with OSH and infection control policies, procedures, and standards.
Experience:2+ yearsInsurance claimsMedical codingHealthcare
Education:Bachelor's in Medical/Paramedical field (e.g., Nursing, Pharmacy, or related)
Skills:Attention to detailCommunicationProblem-solvingDocumentationCompliance
Languages:English

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