Submission Officer | Al Futtaim Health | Dubai, UAE

• Ensure timely submissions of all eligible IP,OP and Pharmacy claims with proper medical and technical justification. • Internal Follow up for raised QMS to concerned branch. • Interacting with the physicians for the clinical justification of the claims • Ensure and work closely with the team on complex cases that need experience and specialist knowledge or technical IT support. • Work closely with Insurance Approvals and Claims re-submission Team to minimize the claims denials • Making sure that claim submissions are dealt with according to Insurance industry and DHA regulations. • Comply with submission KPI’s (Key Performance Indicator) , maintain a record of submission KPIs as and when required. • Educate billing/Approval team to enhance the process flow. • Ensures that targets are met within turnaround time and while maintaining quality and productivity. • Coordinate with CDI team to educate the physicians, and other paramedical team to ensure proper claims documentations. • Maintain accurate monthly data of claims submissions of each insurance company • Coordination with other business stakeholders to improve overall submission process efficiency. • Analysis of financial data related to revenue cycle, to identify defaulting payers and work with the concern department on corrective strategies to mitigate the financial risk/s . Required skills to be successful: Job-Specific Skills: • Strong medical background to handle reconciliation efficiently. • Strong Negotiation skills • Strong soft skills Behavioural Competencies: • Excellent presentation and analytical skills • Good decision-making skills • Strong operational thinking skills • Strong dedication skills • Ability to work under pressure to achieve target What qualifies you for the role: Minimum Qualifications and Knowledge: • Certified professional coding certificate from reputed institution • Certified medical /paramedical certificate Minimum Experience: • Minimum 3+ years’ experience in a similar role. Proven experience in design and creative content development; strong track-record in translating creative ideas into visual displays