Website HMS Al Garhoud Private Hospital
Job Details
Job Position – Resubmission Officer
Company Name – HMS Al Garhoud Private Hospital
Main Responsibilities:
-Check Remittance Advice in DHPO on daily basis.
-Download the RA and upload in Mediware system and process the RA in Mediware system
-Check insurance claim denials prepared for accuracy and justification as per agreement, prior to resubmit claim to respective insurance companies.
-Responsible for submitting details of clinical rejections to physicians in order to clinically justify and resubmit the claim.
-Evaluate the claim rejection reason and generate justification based on physician remarks.
Ensure coverage of claims, guide concerned staff for correct usage of claim forms, and approval papers.
QUALIFICATION AND SKILLS:
-Degree preferably in medical field
-Minimum 4 years UAE Hospital Experience mandatory .
-General knowledge of insurance contracts, terminology, rating practices and procedures, and legal insurance contract requirements.
-Knowledge of Interpreting and applying insurance laws, policies, rules and regulations.
-Strong interpersonal and organizational skills; attention to details.
-Knowledge of computer programs and applications
Email : usha.kumari@hmsco.ae with subject line Resubmission Officer
To apply for this job email your details to usha.kumari@hmsco.ae