Submission & Resubmission Officer

The Resubmission Officer will be responsible for filing and tracking insurance claims, process insurance and disability claims in a timely manner.

Responsibilities

• Process the resubmission of rejected claims on the system, follow up with respective doctors for justification if necessary, and prepare them for resubmission.
• Ensure that the agreed price list and provider manual from insurance companies are followed for billing the service to the respective payers.
• Ensure that all concerned teams, such as FO, coders, and doctors, are updated on time with the rejections and corrective action is taken to avoid such instances in the future.
• Submit the claims with proper codes and format to insurance companies within the stipulated time.
• Performs any other jobs or duties assigned by the HOD from time to time within the scope of job title.

OSH & Compliance Responsibilities

• Comply with all OSH a...