Medical Claims Submission & Resolutions Specialist

NMC Healthcare; Abu Dhabi; On-site; AED 78,000 - 134,000; Full time

Job summary

NMC Healthcare in Abu Dhabi is seeking an experienced Claims Submissions Specialist to manage the end-to-end claim lifecycle. You will ensure timely submission, verify documentation, and address denials with corrective resubmissions, coordinating with TPAs and internal teams.

The role requires 1–3 years in medical claims submission or revenue cycle management, with a strong eye for detail and adherence to payer guidelines.

Qualifications

• Bachelor's or diploma in Healthcare Administration, Medical Records, Business Administration, or related field.
• 1–3 years of experience in medical claims submission or revenue cycle management.
• Familiarity with insurance claim processing and payer requirements.

Responsibilities

• Submit claims and required documentation accurately within established timelines.
• Review rejected or denied claims and prepare resubmissions after corrections.
• Verify claim completeness and supporting documentation before submission.
• Monitor claim status and follow up on pending, rejected, or returned claims.
• Prepare periodic reports on submission activities and rejection trends.

Skills

Attention to detail

Communication skills

Education

Bachelor's or diploma in Healthcare Administration / Medical Records / Business Administration

Job description

NMC Healthcare in Abu Dhabi is seeking an experienced Claims Submissions Specialist to manage the end-to-end claim lifecycle. You will ensure timely submission, verify documentation, and address denials with corrective resubmissions, coordinating with TPAs and internal teams.

The role requires 1–3 years in medical claims submission or revenue cycle management, with a strong eye for detail and adherence to payer guidelines.