Canadian Specialist Hospital is seeking a Resubmission Officer to join our Revenue Cycle Management (RCM) department. The ideal candidate will be responsible for managing insurance claim resubmissions and reconciliations, resolving denials, ensuring compliance with DHA and insurance regulations, and enhancing claims processes to support revenue cycle efficiency.
Interested candidates may send their updated profiles to: careers@csh.ae
Join our dynamic team and contribute to enhancing healthcare delivery and financial performance.
Apply NowKey Responsibilities:
- Ensure timely resubmission of all eligible Inpatient, Outpatient, and Pharmacy claims with proper medical and technical justification.
- Coordinate with payers, physicians, and internal teams to resolve denied or pending claims.
- Track and report KPIs related to claim resubmissions and reconciliations.
- Identify denial trends and work on implementing preventive strategies.
- Educate billing and clinical staff on best practices for documentation and claim submission.
- Highlight payment discrepancies and collaborate with relevant departments on corrective actions.
- Maintain accurate and up-to-date records of all claim-related activities.
Qualifications:
- Certified Professional Coder (CPC) or equivalent certification.
- Certified Medical or Paramedical qualification.
Skills:
- Strong medical knowledge and experience in denial analysis.
- Excellent communication and negotiation skills.
- Strong analytical and problem-solving abilities.
- Ability to work efficiently under pressure and meet strict deadlines.
- Proficiency in Microsoft Excel and familiarity with RCM tools/systems.
