Submission & Resubmission Officer
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Before you apply
LocationAbu Dhabi, United Arab Emirates
Work modehybrid
SeniorityEntry
Company size10,000+ people
First seenNov 3, 2026 · 12h ago
Verified live12h ago
At a glanceSummarised by Seekless from the posting.
Submit claims and required documentation accurately and within established timelines
Review rejected or denied claims and prepare resubmissions after correcting identified issues
Verify claim completeness, coding, and supporting documentation before submission
Monitor claim status and follow up on pending, rejected, or returned claims
Investigate rejection and denial reasons and coordinate with relevant departments to resolve issues
Maintain accurate records of submissions, resubmissions, and claim outcomes
Ensure compliance with payer guidelines, company policies, and regulatory requirements
Communicate with insurance companies, third-party administrators (TPAs), and internal stakeholders regarding claim status and requirements
Prepare daily, weekly, and monthly reports on submission activities, rejection trends, and resubmission performance
Escalate complex or recurring issues to the Team Lead or Manager
Participate in quality improvement initiatives to reduce rejection rates and improve first-pass claim acceptance
Stay updated on changes in payer requirements, coding guidelines, and submission processes
•
Submit claims and required documentation accurately and within established timelines.
•
Review rejected or denied claims and prepare resubmissions after correcting identified issues.
•
Verify claim completeness, coding, and supporting documentation before submission.
•
Monitor claim status and follow up on pending, rejected, or returned claims.
•
Investigate rejection and denial reasons and coordinate with relevant departments to resolve issues.
•
Maintain accurate records of submissions, resubmissions, and claim outcomes.
•
Ensure compliance with payer guidelines, company policies, and regulatory requirements.
•
Communicate with insurance companies, third-party administrators (TPAs), and internal stakeholders regarding claim status and requirements.
•
Prepare daily, weekly, and monthly reports on submission activities, rejection trends, and resubmission performance.
•
Escalate complex or recurring issues to the Team Lead or Manager.
•
Participate in quality improvement initiatives to reduce rejection rates and improve first-pass claim acceptance.
•
Stay updated on changes in payer requirements, coding guidelines, and submission processes.