Resubmission Officer (Multiple Jobs in Hospital)

Job Description

Company: HMS group
Job Type: Full-Time
Location: Dubai, UAE
Job Category: Healthcare, Accounting and Finance, International Jobs
Experience: 4-5 years
Expected Salary: AED 4000-20,000 per month
Website:Website info
Contact: Contact us

Main Responsibilities:

• Check Remittance Advice in DHPO on daily basis.
• Download the RA and upload in Mediware system and process the RA in Mediware
  system
• Check insurance claim denials prepared for accuracy and justification as per
  agreement, prior to resubmit claim to respective insurance companies.
• Responsible for submitting details of clinical rejections to physicians in order to
  clinically justify and resubmit the claim.
• Evaluate the claim rejection reason and generate justification based on physician
  remarks.
• Ensure coverage of claims, guide concerned staff for correct usage of claim forms,
  and approval papers.

QUALIFICATION AND SKILLS:

• Degree preferably in medical field
• Minimum 4 years UAE Hospital Experience mandatory.
• General knowledge of insurance contracts, terminology, rating practices and
  procedures, and legal insurance contract requirements.
• Knowledge of Interpreting and applying insurance laws, policies, rules and
  regulations.
• Strong interpersonal and organizational skills; attention to details.
• Knowledge of computer programs and applications
  Note: Interested candidates please share your resume with the subject line
  “Resubmission Officer.”