Re-Submission Officer
Sidra -
Heliopolis, Cairo
Job Details
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Job Description
This role is responsible for reviewing and analyzing rejected medical claims to prepare accurate resubmissions. The position requires coordinating with internal teams to ensure claims meet specific payer guidelines and are properly justified. The ideal candidate will use their expertise in medical coding and insurance policies to reduce denial rates and work efficiently under tight deadlines
Job Requirements
Key Responsibilities:
- Review rejected and denied medical claims.
- Prepare accurate resubmissions in line with payer guidelines.
- Coordinate with audit, coding, and approvals teams to ensure proper justification.
- Support in reducing claim rejections.
Qualifications & Skills:
- Bachelor’s degree in Medicine, Pharmacy, Nursing, or related medical field.
- Minimum [ 2 years] experience in Medical Insurance / RCM / claims resubmission.
- Knowledge of ICD-10, CPT/ACHI/ATCHI coding, and insurance payer policies (CCHI, Bupa, etc.).
- Strong analytical, communication, and documentation skills.
- Detail-oriented with ability to work under tight deadlines.
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