| Job Location | United Arab Emirates |
| Education | Graduate |
| Salary | Not Mentioned |
| Industry | Insurance / Claims |
| Functional Area | Not Mentioned |
Resubmission OfficerJob Location: United Arab EmiratesMain 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.
Keyskills :
Resubmission Mediware System Insurance Claim Good Communication Skills
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