Medical Life Insurance

DR.RICHA CHATURVEDI, BDS

Sr. Medical Summarizer

E-Mail: ******************@*****.***

Mobile: +91-989*******

CAREER ABSTRACT

To secure a challenging position in the field of medical summarization or related industries with a passion to solve real-world business challenges using Electronic Medical Records (EMRs) data analytics.

A professional Dentist with more than 5.5 years of experience with US Healthcare insurance.

Summarizing and reviewing various types of EMRs, Short term and Long term disability claims handling, Utilization Reviews, Peer Reviews, and Preauthorization medical records.

To evaluate and appraise non-medical/medical risks for life insurance application.

SKILLS

Advanced MS-Excel EMRs Data analysis Data Management

Revenue cycle management HIPPA Compliance Disability Claims

Team Player US healthcare insurance

WORK EXPERIENCE

Sr. Medical Summarization at EY T Pvt Ltd, Estonia (Feb 2016-Present) :

Worked with US healthcare team for abstracting information and assigning codes to describe each documented analysis.

Highly skilled in abstracting information and summarizing the medical document to describe each documented analysis.

Where medical opinion or decision is necessary for acceptance/rejection of insurance coverage.

Underwrite new and existing business.

Recommend, accept, and reject insurance coverage within limits set in the underwriting policy.

Special Initiatives as warranted by business and department needs.

Demonstrated ability to liaise insurance companies regarding questions about claims.

Good understanding of Dental sciences with robust domain knowledge.

Summarizing Group Utilization Review with the help of multiple guidelines : ODG, PubMed, National Library of Medicine and National Comprehensive Cancer Network.

Summarizing Utilization Reviews, Peer Reviews, Disability Claims and Preauthorization medical records.

Medical Summarizer at Exl BPS, Noida (April 2015-Feb 2016 ):

Summarizing multiple records of patient.

Extraction of relevant information into a document.

Specialization in all forms of medical writing, medical summarization and preparing medical chronology.

Thorough knowledge of ICD-9-CM and ICD -10 CM.

Medical terminology and anatomy .

Coding guidelines and Payment methodologies.

Denial procedures.

Responsible for reading medical records and writing a summary of the medical records, identifying the claimant’s past medical history and treatment rendered.

Dental Officer at Shrishti Dental Clinic, Rohtak (May 2013-April 2015):

Specialization in cleaning teeth, looking at x-rays, and making patients feels comfortable.

Implemented patient counselling methods which increased client satisfaction by 45%.

Assessing oral health, screening clients for diseases, and supporting fellow dental staff.

Screened and assessed patients for oral health conditions, review of health history, oral cancer screening, and periodontal charting.

Developed dental x-rays, including periapical, bitewing, panoramic, cephalometric, and 3D cone beam scan.

Removed calculus and plaque from all surfaces of the teeth.

PROFESSIONAL TRAININGS :

Certification on introduction to Databases and SQL Querying as taught by Rakesh Gopalakrishnan.

B.D.S. from Inderprastha Dental College in April 2013.

Bachelor in Dental Surgery in 2013. Secured 69%.

12th from Gyan Vihar, Jaipur in 2007. Secured 70%.

10th from Naval’s Academy, Gorakhpur, 2005. Secured 70%.

ACHIEVEMENTS:

STAR PERFORMER AWARD - 2017

Was awarded the prestigious star performer award for exemplary performance at the workplace.

EXTRAMURAL ENGAGEMENTS:

Worked as a Corona Worrior through Niti Ayog selection of doctors during Corona virus pandemic.

Participated as a COVIDCON Global - Largest Physician Web-Summit

Qualified in pre-senior UNITED NATION information test.

INTERESTS:

Travelling, Dancing, Singing, Artificial Intelligence, Making preventive care YouTube videos.

Personal Details:

DOB: 26/06/1989

Father’s Name: Arun Kumar Chaturvedi

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