Location: HMS Al Garhoud Private Hospital DubaiMain 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:◾ 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 applicationsInterested candidates please share your resume with subject line Resubmission Officer