NMC HealthSubmission & 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
- Level rates this role Little AI ●○○○: aI is not part of the work.
- The posting mentions medical billing, medical coding and claims processing among its tools and skills.
- Level classes it as a mid-level role.
- NMC Health has 126 other open roles on Level.
- Posted within the past week.
AI in this role
Review and audit medical claims, handle resubmissions, and ensure compliance with insurance company billing guidelines.
3.1 Review and Audit Medical Claims to ensure their accuracy.
3.2 Resubmission of rejected claims.
3.4 Ensure that the agreed price list and provider manual from insurance companies are followed for billing the service to the respective payers.
3.5 Ensure that the Billing officers are updated on time with the rejections and corrective action is taken to avoid such instances in future.
3.6 Handling the Resubmission of rejected claims, follow up with respective doctors for justifying the claims if necessary and prepare them for resubmission.
3.7 Submit the claims with proper codes and format to insurance companies within the stipulated time.
Review and audit medical claims to ensure accuracy and compliance.
Handle the resubmission of rejected claims.
Ensure that agreed price lists and provider manuals from insurance companies are followed when billing services to respective payers.
Ensure billing officers are updated promptly on claim rejections and corrective actions are taken to prevent recurrence.
Follow up with the respective doctors to obtain justifications for rejected claims, where necessary, and prepare claims for resubmission.
Submit claims to insurance companies with the correct codes and format within the stipulated timelines.
Medical/Nursing graduate from a recognized university.
Experience in insurance claims resubmission.
Experience in medical coding is preferred.
Excellent command of written and spoken English.
How we rate this
Submission & Resubmission Officer at NMC Health rates 0 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.
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.
Prepare for this job
Built from this posting and from similar jobs on Level.
Skills and AI tools this role asks for
Questions you could be asked
- Tell me about a project where medical billing was part of your work. What did you do?
- Tell me about a project where medical coding was part of your work. What did you do?
- Tell me about a project where claims processing was part of your work. What did you do?
Adapt your resume
- List these exact terms on your resume: Medical Billing, Medical Coding, and Claims Processing. An applicant tracking system matches the wording, not the idea.
- Attach one line of real, concrete experience to at least one of them. A tool named with nothing behind it rarely survives a human read.
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