Submission And Resubmission Officer

NMC Healthcare; Dubai; On-site; AED 60,000 - 90,000; Full time

Job summary

NMC Healthcare is seeking an experienced claims administrator to upload and verify claims documentation in our Dubai-based operations. You will coordinate with medical coders to resolve discrepancies and generate status reports on data uploads.

Ideal candidates hold a College Diploma with an AAPC coding certificate and will handle data entry, verification, and escalation of any issues promptly in a fast-paced environment.

Qualifications

• College Diploma - Any discipline or related fields.
• AAPC coding certificate required.

Responsibilities

• Upload claims documents and data into the claims management system accurately and promptly.
• Verify accuracy of claim forms and related documentation before uploading such as checking the card number with given formula, verifying the TPA / Policy is entered correctly and if any Dummy approval was entered.
• Coordinate with Medical Coders to resolve discrepancies or missing information.
• Assist in generating reports related to claims status and data uploads.
• Identify and escalate issues related to claims documentation or data entry to the supervisor.
• Perform other administrative duties related to claims processing as assigned.

Education

College Diploma - Any discipline or related fields.

AAPC coding certificate

Job description

Job Description:

Accurately uploading and verifying claims documentation, coordinating with medical coders to resolve discrepancies, generating status reports, and ensuring timely escalation of issues

Responsibilities

• Upload claims documents and data into the claims management system accurately and promptly.

• Verify accuracy of claim forms and related documentation before uploading such as checking the card number with given formula, verifying the TPA / Policy is entered correctly and if any Dummy approval was entered.

• Coordinate with Medical Coders to resolve discrepancies or missing information.

• Assist in generating reports related to claims status and data uploads.

• Identify and escape issues related to claims documentation or data entry to the supervisor.

• Perform other administrative duties related to claims processing as assigned.

Qualifications

• College Diploma - Any discipline or related fields.

• with AAPC coding certificate