Joel Rose Meneses

Abu Dhabi, AE adj8qs@r.postjobfree.com 055-*******

Work Experience

Coder / Claims processor

Dr. Aljundi Orthodotic and Dental Center - Abu Dhabi

May 2014 to Present

•Responsible for performing claims review based on clinical records documentation and compliance guidelines to ensure accurate use of dental codes, billing/finance and maintaining clinical records

•Experience with electronically filling dental insurance claims as well as hand written claims

•Fully capable of verifying patient insurance benefit

•Interact with the insurance company for any discrepancy between requests and approval/rejection

•Clarify discrepancies in documentation and coding, interacting with physicians and assistants to ensure accuracy

•Organize insurance and self-pay claims to submit and re-submit claims to insurance company and DOH on a daily basis

•Maintaining complete confidentiality in accordance with organization and legal requirement

•Conduct audit and coding reviews to ensure all documentation is accurate and precise

•Experience with handling TASNEEF and other insurance audit.

•Comply with all legal requirement regarding coding procedure and practices

•Responsible for accurate and timely daily reports

Receptionist / Insurance Clerk Ansam Dental Clinic - Abu Dhabi, AE

January 2012 to February 2014

•Answers all phone calls and patient's queries. Gives and remind patient's appointment

•Using a computerized record system to book, switch and cancel appointments

•Open file for new patients and entered patient's data into system

•General administration tasks, such as photocopying, scanning, faxing, printing and sorting/filing/ sending forms

•Explaining coverage of medical benefits to patients when required, receive patient's payment and issues receipt

•Fills-out Insurance Requests Forms with patient's and clinic's details. Sends, follows-up, and receives Insurance Company's Approvals. Inquire insurance company on the subject of claim, eligibility, covered benefits and approval status issues

•Calls Insurance Company for any discrepancy between requests and approval/rejection

•Prepares monthly insurance claims, submission and re-submission

OPD Nurse

Taytay Doctors and Multispecialty Hospital Philippines Nov 2011 to Dec 2012

•Perform initial assessment and refer patients to right doctors

•Assisted surgeons and physicians in patient's examinations and outpatient operations

•Treat minor injuries and administer vaccines and medications

•Take specimen samples for laboratory tests

•Read and explain the tests results to patients and further steps to taken

•Placed orders with the concerned department for medical supplies

•Respond to emergency situations in the outpatient department as required

•Document provided nursing care for billing and clinic's record

Volunteer OR Nurse

•Get a patient ready for the surgery process.

•Answer patient queries regarding the surgery and prepare them mentally to withstand the rigors of the surgery.

•Make the operation room ready for the surgery. Arrange all the necessary tools and put them in place.

•Assist the surgeon and provide the right surgical tools as the surgeon may need them during operation.

•Keep checking and monitoring the vital signs of the patient during operation.

•Take care of the patient. Keep checking and monitoring the vital signs and health condition of the patient after the operation. Administer medicines as prescribed.

•Inform the patient about restriction of movement and other measures that should be followed.

Volunteer OR Nurse

Duties and Responsibilities:

0 )

)

1 )

)

) )

)

;') ) )

Admission Clerk

AL Noor Hospital - Abu Dhabi, AE

April 2009 to April 2010

•Receives patients for admission and or / their representative with welcome and courtesy Handle queries and answering phone calls

•Coordinate with the respective ward incharge, assign appropriate room to patient.

•Acquire the necessary information concerning health insurance companies responsible for payment or individual payment

•Coordinate with the insurance department for any discrepancy of patient's approval prior to admission

•On discharge of patients, receive necessary payments and return valuables to the right patients. Discharge patients from the system, arrange and complete the files accordingly

Personal Data

Age: 32

Citizenship: Filipino

Civil status: Married

Religion: Roman Catholic

Visa status: Employment visa

PERSONAL DATA:

Age: 26

Birth date: Feb. 28 1987

Birthplace: Binangonan Rizal, Philippines

Citizenship: Filipino

Civil Status: Married

Height: 5 ft.

Religion: Roman Catholic

Languages: English, Filipino

Visa Status: Employment Vis

Education

Bachelor's Degree in Nursing 2008

Skills

•Icd-10 coding experience

•Data entry

•Medical terminology

•Computer skills

•Work well independently

•Records keeping

•Customer service

Additional Information

•Bachelor's Degree in Nursing – Passed 2010

•Certified Professional Coder (CPC) Certification from the American Academy of Professional Coders (AAPC) - 2017

Contact this candidate