Submission & Resubmission Officer

NMC Health is hiring a Submission & Resubmission Officer in Abu Dhabi, United Arab Emirates. Level rates it ; you can apply on NMC Health.

Level's read on this job

Little AI ●○○○ is how Level rates this role: aI is not part of the work.
Level classifies it as a junior role.
Level lists 91 other open roles at NMC Health.
The role was posted in the last few days.

AI in this role

Submit claims and required documentation accurately and within established timelines.
Review rejected or denied claims and prepare resubmissions after correcting identified issues.
Verify claim completeness, coding, and supporting documentation before submission.
Monitor claim status and follow up on pending, rejected, or returned claims.
Investigate rejection and denial reasons and coordinate with relevant departments to resolve issues.
Maintain accurate records of submissions, resubmissions, and claim outcomes.
Ensure compliance with payer guidelines, company policies, and regulatory requirements.
Communicate with insurance companies, third-party administrators (TPAs), and internal stakeholders regarding claim status and requirements.
Prepare daily, weekly, and monthly reports on submission activities, rejection trends, and resubmission performance.
Escalate complex or recurring issues to the Team Lead or Manager.
Participate in quality improvement initiatives to reduce rejection rates and improve first-pass claim acceptance.
Stay updated on changes in payer requirements, coding guidelines, and submission processes.

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

How we rate this

Submission & Resubmission Officer at NMC Health rates 37 out of 100 for how much of the daily work is AI. That makes it Little AI (AI Level 1 of 4). The level is about AI in the job, not seniority.

Classification

Little AI. AI is not part of the work.

●●●● Builds AI80 to 100
●●●○ Works on AI60 to 79
●●○○ Uses AI40 to 59
●○○○ Little AI0 to 39

Levels come from how often the tools, models and workflows of the role are named in the posting itself. Read the description and count the AI tools, models and workflows it names.