Resubmission Officer (OP) - UAE Healthcare Experience is preferred

Accurate and in-depth analysis of rejection for effective resubmission thereby ensuring maximum revenue with measures to prevent future denials achieved by root cause analysis and implementation of the corrective actions with the help of internal and external stake holders.

Role Summary:
To audit & process all type of rejected claims received by the payers and resubmitting them correctly after thorough investigation and justification.

Primary Responsibilities:

• Properly process and audit all type of claims received by the payers, from the medical and insurance perspective.
• Assure meeting the daily assigned target in terms of quantity & quality.
• Report back any type of claims observation or issues that may affect the process.
• Ensure that the medical ethics are respected at all times while performing the medical evaluation of the claims.
• Participate in developing the rules engine and the billing system by providing new ideas or proposal in order to enhance the process.
• Contribute in developing, updating and implementing the guidelines for evaluation and processing of medical claims, as well as policies and procedures and work instructions related to medical claims review and processing.
• Gather relevant information to clearly describe and properly escalate issues to supervisors and managers.
• Ensure high quality customer service and respect medical and work ethics at all times while conducting daily tasks.
• Ensure that business decisions and processes are documented in a professional way and the communication requirements are being adhered to in a timely and professional manner.
• Conduct training to improve the technical, insurance and medical skills and knowledge for team members as assigned by the supervisor or manager.
• Provide all the needed support as advised by the supervisor based on the business need.
• Other related tasks assigned by the line manager

Please contact HR 'mobile no' given below.

Based in Dubai, UAE, we are the first, as well as the largest, company in the Middle East to provide comprehensive end-to-end revenue cycle management solutions to the healthcare sector. Our services include everything from eClaims to medical coding and medical insurance billing.
Offering all these value-added services under one roof makes ACCUMED your single point of contact for all RCM related concerns, as we help you run an efficient business in an ever-evolving healthcare market.