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Medical Claims

Location:
United Arab Emirates
Salary:
16,000.00 - 20,000.00
Posted:
July 03, 2015

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Resume:

Dr. Muhammad Tayyab Ahmad S/O Ashiq Hussain

Contact #: +971********* Marital Statuses: Single Permanent Address: Beda Zayed,

Email:acqkig@r.postjobfree.com Date of Birth: 11th DEC, 1988 Al Gharbia Abu Dhabi, UAE

Nationality: Pakistani Passport number: CB1150622

Present Address: Beda Zayed, Al Gharbia Abu Dhabi, UAE Visa status: residence (employment)

PROFESSIONAL SUMMARY:

One year experience as internee (Doctor) at Sialkot Medical Complex Sialkot Pakistan

02 year experience at NAS administration as medical Officer

Authorization Department

PROFESSIONAL EXPERIENCE:

June 2011 - May 2012 SIALKOT MEDICAL COMPLEX (internee)

QUALIFICATION:

Bachelor in Medicine and Bachelor in Surgery MBBS (Hebei united university) 2012

Fsc higher secondary Education pre medical (GOVT. Murray College Sialkot) 2007

International English Language Testing System (IELTS) 2015 – 7.5 bands

AAPC - CPC 2015 (Certified professional medical coder)

CPHQ training - December 2014

LANGUAGE SKILLS:

Written Oral

English

Excellent

Excellent

Urdu

Excellent

Excellent

Hindi

Good

Excellent

Chinese

Good

Good

Punjabi

Good

Excellent

PROFESSIONAL TRAINING:

Sialkot Medical Complex, Sialkot Pakistan

Employment History

06/2011-07/2011 Internship in Obstetrics & Gynaecology at SMC Sialkot Pakistan

07/2011-10/201 Internship in Surgery at SMC Sialkot Pakistan

10/2011-01/2012 Internship in Medicine at SMC Sialkot Pakistan

01/2012-02/2012 Internship in Paediatrics at SMC Sialkot Pakistan

02/2012-03/2012 Internship in Dermatology at SMC Sialkot Pakistan

03/2012-04/2012 Internship in Neurology at SMC Sialkot Pakistan

04/2012-05/2012 Internship in Radiology at SMC Sialkot Pakistan

Currently employment:

(As Medical Officer)

NAS Administration Abu Dhabi since September 1st -2013

Current Job description :

To asses medical claims

Implementing policies

Assessment of cost impacts on policy aggregates

Manage routine daily Medical claims administration work.

Auditing Medical Inpatient and Outpatient claims

To implement medical ICD and CPT codes for précised payments

Assessing In patient cases- well knowledge of IR DRG and IP coding

•Evaluating Medical claims with regards to eligibility

•Coordinate work flow & meet deadlines.

•Decision on high cost and complicated cases.

•International Preauthorization.

•Attending calls and e-mails from insurance companies, clients, and providers.

•Coordinating with international providers for direct billing.

•Making suggestions to improve service

PERSONAL SKILLS & COMPETENCIES:

Software & IT Skills Experience (Years) Level

MS Word, Power Point, Excel & Outlook 6 Years Excellent

Windows (98, XP, VISTA, 7) & Internet browsing 8 Years Excellent

Professional Skills & abilities

Conceptual skills 2 Years Excellent

Adaptability 2 Years Excellent

Interpersonal 2 Years Excellent

Performing multiple tasks with accuracy 1 Years Excellent

Personal Strengths

Quick learner, highly motivated, good sense of humor, effective & efficient and result oriented I, hereby, certify that the information provided above is actual and correct.

Dr. Muhammad Tayyab Ahmad MBBS- CPC



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