drmubimk

APPROVAL OFFICER
د.إ6000 / month
March 15, 1990

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

D
DOCTOR 2008-2014
RVS

*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

A
APPROVAL OFFICER FEB 2023 - WORKING AT PRESENT
NMC

 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

M
Medical Coder Sep 2019 - AUG 2020
Medulla Health Care Solutions, India

 Analyzed and assigned codes to diagnoses and procedures.  Collaborated with physicians to clarify information.

C
Consultant Physician Jan 2015 - Jan 2019
Similia Homeopathic Clinic, Kerala

*Patient Consultation & Case Taking *Take a detailed medical history including lifestyle, diet, stress, sleep, and family history. *Patient Education & Lifestyle Advice *Treatment & Prescription

D
DOCTOR JAN 2014 - JAN 2015
Arogya Homeopathic Clinic

*Providing Appropriate Treatment *Monitoring Patient Response *Prescribing Medicines *Patient Education & Lifestyle Advice *Treatment & Prescription