Dr. Pratibha Gupta (B.D.S, PGDHM)
Place of Residence: Punjab, India
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)
Thumbay Hospital, UAE (March, 2015 to August, 2017) JOB TITLE:
Inpatient Administrative Manager
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
Data Analysis, Assessing outcomes
Medical Event Planning
Marketing & Promotions
Facilitating Meeting Discussions
Research, Investigating, Reporting, Presenting
Dental License (Punjab Dental Council)
AGE: 28 Years
Marital Status: Single
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 )