drmubimk
About Candidate
Dynamic Approval officer with a proven track record at NMC speciality hospital,adept in medical coding (CPT,ICD-10) and insurance verification(IP / OP / emergency,elective).excelled in resolving complex claims ,enhancing reimbursement rates, and fostering team collaboration.Known for meticulous attention to detail and strong communication skills ,ensuring seamless healthcare billing processes.
Location
Education
*Patient Consultation & Case Taking *Take a detailed medical history including lifestyle, diet, stress, sleep, and family history *Diagnosis of Illness. *Selecting the Correct Remedy. *Treatment & Prescription
Work & Experience
Claim submission and follow up. Verified patient insurance eligibility and benefits,ensuring accurate and timely claim submission. Coordinated with physicians and case managers to clarify documentation and ensure completeness for authorization Processed prior authorizations efficiently to prevent treatment delays and claim denials Maintained compliance with payer guidelines, hospital protocols, and regulatory standards Communicated effectively with insurance providers to confirm eligibility and benefit coverage Utilized [HIS software] to efficiently manage patient data and generate reports
Analyzed and assigned codes to diagnoses and procedures. Collaborated with physicians to clarify information.
*Patient Consultation & Case Taking *Take a detailed medical history including lifestyle, diet, stress, sleep, and family history. *Patient Education & Lifestyle Advice *Treatment & Prescription
*Providing Appropriate Treatment *Monitoring Patient Response *Prescribing Medicines *Patient Education & Lifestyle Advice *Treatment & Prescription