To ensure that denied, rejected, or underpaid insurance claims are corrected and resubmitted accurately and promptly to maximize reimbursement for healthcare services
The post holder will:
Analyze the rejections
Clarifying the Rejection queries to the Insurance Company
Doing Resubmission production for assigned facility with quality.
Sharing rejection feedback to the Submission team
Sharing rejection feedback to the Approval team
Sharing rejection feedback to the reception team.
Facilities doubt clearing (Coding, insurance Queries)
Monthly team meeting in sharing the ideas regarding insurance rejection.
Sharing rejection updates to medical auditor to share with respective doctor.
Supporting submission team for their queries
Providing justification for reconciliation claims.
College Diploma - Any discipline or related fields.
Coding Certification, CPC – Certified Professional Coder (AAPC)
Proficiency in:
ICD-10-CM (diagnosis codes)
CPT (procedure codes)
HCPCS Level II (supplies, equipment, services)
NMC Healthcare is one of the largest private healthcare networks in the United Arab Emirates. Since 1975, we have provided high quality, personalised, and compassionate care to our patients and are proud to have earned the trust of millions of people in the UAE and around the world.
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DISCLAIMER: Fraudulent Job Offers
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It has come to our attention that fake job offers have been circulated under the name of NMC Healthcare by certain individuals/entities claiming that they are representatives or subsidiaries or under contract with NMC Healthcare.
If you receive any unauthorised, suspicious, or fraudulent offers or interview calls, please send an email to verification@nmc.ae for formal verification. If you believe you have been a victim of a recruitment fraud, you are encouraged to approach the law enforcement agencies immediately.
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MOH Number: ZLD03Z9F
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