Medical Claims Audit & Resubmission Lead

NMC; Abu Dhabi; On-site; AED 60,000 - 120,000; Full time

Job summary

NMC is seeking a Healthcare Claims Specialist to review and audit medical claims for accuracy in Abu Dhabi. You will ensure compliance with payer guidelines and manage claim resubmissions efficiently.

The role requires 2+ years in Insurance Claims Management/Adjudication, a Medical/Paramedical degree, and strong English communication. Experience in medical coding is a plus; joining duties include OSH and infection control adherence.

Qualifications

• Minimum 2 years of experience in Insurance Claims Management/Adjudication.
• Medical Coding experience is preferable.
• Medical/Paramedical degree from a recognized university.
• Excellent command of oral and written English.

Responsibilities

• Review and audit medical claims to ensure accuracy.
• Resubmission of rejected claims.
• Follow payer price lists and provider manuals when billing.
• Update Billing Officers on rejections and implement corrective actions.
• Submit claims with proper codes and formats within the timeframes.
• Comply with OSH and infection control policies.

Skills

Medical claims review

Claims resubmission

Insurance billing

OSH compliance

Infection control

Education

Medical/Paramedical graduate

Tools

Medical coding

Billing software

Job description

NMC is seeking a Healthcare Claims Specialist to review and audit medical claims for accuracy in Abu Dhabi. You will ensure compliance with payer guidelines and manage claim resubmissions efficiently.

The role requires 2+ years in Insurance Claims Management/Adjudication, a Medical/Paramedical degree, and strong English communication. Experience in medical coding is a plus; joining duties include OSH and infection control adherence.