Dr. Pratibha Gupta (B.D.S, PGDHM)

Email: ac4yl6@r.postjobfree.com

C: +91-987*******

Place of Residence: Punjab, India

Career Objective:

A HealthCare Professional having experience in healthcare industry, looking forward to contribute effectively & efficiently with reputed healthcare organizations/Hospitals by leveraging the experience & skills gained over the years. Educational Qualifications:

Post Graduate Diploma in Hospital & Health Management, India

(August, 2013 – February, 2015)

Bachelor of Dental Surgery, India

(April, 2008 – June, 2013)

Professional Experience:

Thumbay Hospital, UAE (March, 2015 to August, 2017) JOB TITLE:

Inpatient Administrative Manager

RESPONSIBILITIES:

Attends to telephone inquiries from patients, case managers, and physicians and outside Hospitals & Clinics. Explains the Pre-admission process.

To coordinate patient admission to the ED or inpatient units and provide patient family support services to ensure that each customer encounter is positive, professional and efficient while also fulfilling all revenue cycle related requirements for optimal reimbursement.

Assists in overseeing the workflow relating to Pre-Admissions and supervises the department as requested.

Receives faxed referrals and ensures that the referrals are reviewed and medically approved by a physician.

Contacts insurance carriers to confirm coverage,verify benefits and obtain authorization/pre-certification to ensure reimbursement.

Verifies Medicare/Medicaid on Passport/National ID’s and prints out verification.

Notifies referring hospital case managers of decision and schedules admissions.

Enters patient data in the HIMS scheduling menu and enters details of patient’s benefits and billing instructions

Maintains a referral database

Keeps supervisor informed of progress/problems

Cross-trained to interview, register and admit a patient into the facility

Provides tours for families of prospective patients

Performs other duties as requested

Manages all aspects of discharge planning for assigned patients and assures patients are discharged timely

Responsible for patient check in, medical record creation, collecting and updating patient demographic and financial information, obtaining consent for care, collecting co- pays, coordinating interpreter services, ordering medical records and checking in or scheduling ambulatory appointments.

Experienced with insurance systems or with Medicare and Medicaid online systems SKILLS:

Analyzing cost of Treatment Alternatives

Compliance with Healthcare Regulations

Conducting Medical Facility Audits

Developing Strong Physician relationships

Handling confidential Information

Health Insurance Processing

Hospital and Physician Billing

Resolving Patient Grievances

Conducting Surveys

Customer Service

Microsoft Office(Excel,Outlook,PowerPoint,Database,Access,Word)

Data Analysis, Assessing outcomes

Medical Event Planning

Operations

Quality Control

Scheduling

Marketing & Promotions

Facilitating Meeting Discussions

Research, Investigating, Reporting, Presenting

Supervising Billing

Negotiating Contracts

CERTIFICATIONS:

Dental License (Punjab Dental Council)

LANGUAGES KNOWN:

English

Hindi

Punjabi

Urdu

ADDITIONAL INFORMATION:

AGE: 28 Years

SEX: Female

Marital Status: Single

DECLARATION:

I affirm that the information in this application is true & correct .Given an opportunity, I assure that I will be able to meet your expectations. I am confident that I will be able to take up any liable responsibility on me.

Punjab, India Dr.Pratibha Gupta

(READY TO RELOCATE )

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