Medical Insurance
Resume:
RAJESWARY DILEEP - CPC
Contact No : +971*********
Email: ************@*****.***
I am a certified medical coder with strong integrity and high values. My strength of character and perseverance helps in difficult situations. I am a hardworking and self-motivated person who works well in groups. I am confident of being a quick learner, very practical oriented and having an analytical mind. My personal attributes are effective communication skills and goal oriented approach to work. Now working as Medical Coder at Home Health Medical Centre LLC (PRIMARY HEALTH CARE ) having 3 years of experience in coding. Good knowledge of medical terminology and coding outpatient claims including dental claims. Also faced JAWDA Audit and has achieved A grade. Good knowledge about insurance (making insurance SPC). Also have experience in internal audit. Well aware of insurance pre approval, rejection, resubmission, denial analysis. Work Experience
HOME HEALTH MEDICAL CENTER,PRIMARY HEALTH CARE, SHABIYA 11, ABUDHABI, UAE
FROM 11/06/2016 TO PRESENT
RESPONSIBILITIES:
Primarily provides all kind of insurance assistance to hospital departments. Review and verify patient account information against insurance program specifications.
To gain as much knowledge in medical insurance terms and conditions. To develop good relationship with various insurance companies. To update ourselves with latest medical terminologies and information. Checking patient claims to avoid any errors.
To receive rejected claims from various insurance companies. The rejected claims to be rectified by providing the requirements needed by the insurance
Companies.
To gain as much knowledge in computer software and updates used in insurance N dept
4
Checking Surgery list and provide updated approvals from various insurance company
Liaises with medical coders, doctors and other departments for the purpose of rectification.
Liaises with staff and doctors of insurance companies. To develop good relationship with accounts dept.
To provide all necessary assistance regarding insurance to all the departments and doctors.
To obtain approvals as per the request of the doctors from various insurance companies.
Proper filing of approvals and other correspondences. To promptly deliver all the mails and memos from various insurance companies to staff
Maintain proper records of approvals and rectification statements. Prompt usage of essential tools like photocopy machine, fax machine, telephone, computers
Help other colleagues in the department when they have busy schedule. Follows policies and procedures, completes administrative tasks correctly and on time.
Participates in the quality improvement activities of the hospital Competently participate in training programs conducted by various insurance companies
Preparing internal audit for Tasneef audit purpose. Knowlegde about empanel ment process with insurance companies . Personal Skills:
Acquired good knowledge on coding( ICD,CPT,CDT USCLS )and Tasneef audit .
Good knowlegde of anatomy, physiology and medical terminology. Good knowledge about CPT assistant,AHA coding clinic, Encoder Pro . Good verbal and written communication skills.
Energetic and take oriented ability.
Adventurous and service minded personality.
Ability to work without any supervision.
Computer knowledge.
Professional Experience Synopsis:
Have a certificate on CPC Medical Coding.
Worked as a Medical lab trainee in Pariyaram Medical Collage, Kerala. Worked in Blood bank at Medical Collage.
Has seven months experience as a teacher in a private school. Have experience in medical coding,still working.
Workshops/Trainings Attended:
Attended a UGC sponsored national conference on ‘Environmental challenges and Sustainable development’.
Attended training programme on ‘Codex general principle of food hygiene and application of HACCP based food safety system.
Attended a one day seminar on ‘Emerging trend in Biotechnology to increase the efficiency of nonconventional energy source’ (Rajeev Gandhi AkshayaOorjadinaSandesaProgramme)
Attended UGC national seminar on ‘Quality management system and HACCP for food industries’. Attended a seminar on ‘Molecular modeling and system biology’ Professional and Academic Qualification:
MSc Microbiology:76% (First Rank)
Kannur University, Kannur,
Year: 2008-2011.
BSc Microbiology :81%
Kannur University,
Year: 2005-2008.
Class XII: 75% Year: 2003-2005
Board of HigherSecondaryEducation, Kerala.
Class X: 71%Year: 2003
Board of Secondary Education, Kerala.
Personal Information
Date of Birth:
25th
May1988
Passport : J8208250
Visa Status : on husband visa
Hold valid UAE driving license
Permanent Address:
Rajeswary Dileep, palakkeel house, Kannur, kerala, India. Contact No.:
Email:
************@*****.***
Contact this candidate