SHERWINA M. IMAO

+971*********

Al Nakheel, Ras Al Khaimah, UAE

addk28@r.postjobfree.com / addk28@r.postjobfree.com

Dear Sir/Madam,

I, Sherwina M. Imao, would like to apply as Medical Biller / Medical Claims in your good company. I seek a challenging opportunity in your esteemed organization. I have more than 2 years of UAE experience in Billing and Insurance Approval. I have been working in Emirates Hospitals Clinic in Ras al Khaimah for past 2 years up to present. I am very familiar with CPT guidelines, checking patient eligibility, sending insurance approvals. I have a good knowledge of Medical terminology. I offer a discipline/hard work at any organization. While my talents are particularly well suited to positions analytical in nature, I offer communication and interpersonal skills, a strong work ethic and an intense desire and ability to learn. A good team player and has a highest zeal of Enthusiasm. I will be very much delighted to impart my knowledge with the best of my ability and aspire to become part of company's success.

Herewith, attached is my Curriculum Vitae/Resume which would give details of my qualifications. You may contact me at this number: +971*********. I appreciate you taking the time to review my credential. I am looking forward hearing good news from you. You may contact me at your most convenient time. Thank you. Sincerely,

Sherwina M. Imao,

Applicant

+971*********

CAREER HIGHLIGHTS:

• Billing Cashier / Insurance / Approval

• Claims, Collections, Account Receivables

• HCPCS/CPTs

• Communication Readiness (CORE) Training Certified

• Certified Virtual Contact Center (VCC)

• Certified OSS Admin Call Training: Describing (VCCD) Career Objectives:

To be responsible in any challenging entry level that will utilize my strong analytical and knowledge that is beneficial for other opportunities and professional growth. EXPERIENCE/EMPLOYMENT HISTORY

Emirates Hospital Group, UAE

(JCI Joint Commission International Accredited)

Medical Biller / Insurance – Feb 27, 2017 up to present

• Responsible in timely billing and assurance of documents submission such as explanation of benefits from the insurances and medical records.

• Assisting and coordinating the insurance and corporate patients.

• Coordinating with insurance companies for obtaining information on new policies and their coverage.

• To maintain and update records related to pre-approvals and reconciliation.

• Taking authorization from insurance as well as corporate companies.

• Maintaining all records in office systematically.

• Assisting patients in the outpatient clinic and Inpatient Department (referring to other hospital) in terms of Insurance queries.

• Answering the calls for the hospital services and charges and other queries by the patients.

• Preparing cost estimate for any treatment or procedure and submission of daily revenue report to the responsible department.

• Deal with Patient's medical report and appointments of the patient after discharge.

• Responsible of charging the consumables which is used for the patient from the stock and updating the bill till the time of discharge. Obtain referrals and pre- authorizations as required for procedures

• Check eligibility and benefit verification

• Review patient bills for accuracy and completeness and obtain any missing information

• Scan and updates patient’s information.

• Verify eligibility of each patient and bill to insurance for payment.

• Process denied insurance claim, verify and resending claim for reprocess.

• Inform patient about the service was not covered and then apply the bill to the patient.

• Analyses pending and denial claim and send back to insurance for reprocess

• Send clarification report to clients in weekly basis. Insurance

• Getting approvals for medical procedures

• Coordinating with insurance companies for obtaining information on new policies and their coverage

• Explaining coverage of medical benefits to patients when required

• Assisting invoicing department in insurance processing and billing

• To network with insurance companies to obtain accreditation as a provide

• To liaise with insurance companies regarding eligibility, payments, approvals, reconciliation and other requirements

• To liaise with patients regarding their eligibility and entitlements.

• To maintain and update records related to pre-approvals and reconciliation. Professional Skills:

Computer Literate. A fast learner and has the ability to perform any given task. Highly motivated self-starter who takes initiative with minimal supervision Enthusiastic, knowledge-hungry learner, and eager to meet challenge and quickly assimilate new concepts. Ability to handle various task and customer service experience in a variety of fields.

PERSONAL DATA

• Date of Birth: January 31, 1989

• Age: 29 years old

• Gender: Female

• Citizenship: Filipino

• Civil Status: Married

• Religion: Islam

• Passport No. P6847460A

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