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Insurance Coordinator Manager

Location:
Kozhikode, Kerala, India
Posted:
November 24, 2021

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Resume:

ASWATHY ACHUTHAN

Thankamma sadanam

Kanjiram P O

Near Kiliroor Devi Temple

Kottayam.

Pin : 686020

Contact No. +919*********, +919*********

Email: *********@*****.***

PROFILE:

Highly organized, detail oriented, and focused professional, with 16 years of experience in Medical Office Administration, AdministratiVe support, Clerical functions and Client serVices. Hardworking with exceptional analytic, and team oriented skills. Tenacious, quick thinker and problem solVer; with strong ability to synthesize diVerse and complicated information to produce rapid solutions. Capable of working in a fast-paced work enVironment, and meeting tight deadlines and schedules.

Job Experience

Mazhuvenchery Multi Speciality Dental Clinic, Aluva Dental Treatment Co-ordinator

July 2019 – March 2020

Greet and Check Patients in and out before and after treatment

Answer incoming calls to include, new patient calls,emergencies, scheduling patient appointments, requesting records, and follow up

Perform general office duties and other duties as required

Track patient accounts receivable and outstanding balances to ensure timely payment.

Explain the treatment plan, address patient concerns and answer any questions.

Bill dental insurance, post payments and claim estimations as required

Taking feed backs, suggestions and comments

Amrita Institute of Medical Science&Reserach Centre,Kochi International Patient Desk Supervisor

April 2018-June 2019

Deliver excellent customer service at all times

Maintain timekeeping and personnel records

Pass on information from upper management

to employees and viceversa

Prepare and submit performance reports

Hire and train new employees

Exceptional employee performance evaluation scores

Organizing workflow and ensuring that employees understand their duties or delegated tasks

Decide on reward and promotion based on performance

Ensure smooth functioning of the department

Receive complaints and resolve problems

GlobeHealth Polyclinic,Dubai

(General Medicine,Dental,Gynaecology,Pediatrics,ENT) Front Office cum Insurance Coordinator

May 2017 –October 2017

Checking the eligibility of Insurance through online portal.

Taking approVals on daily basis and do necessary follow-ups.

Doing Submissions, Re-submissions and Reconciliations.

Researches and resolVes insurance billing issues.

Trained new employees with patience and guidance; ensured on the job training was current and correct.

Practiced professional telephone etiquette and customer service while making claim inquires and quickly resolving any patient complaints and concerns

Communicates with pharmacy benefit managers to determine patient coVerage for the requested medication.

Maintaining relationships with insurance agents and customers

Completed insurance verification forms and sent to the appropriate Nursing office and billing departments

Interacted with clinical staff, patients, co -workers and other departments In a positive and professional manner.

Checking the eligibility of Insurance through online portal.

Taking approVals on daily basis and do necessary follow-ups.

Doing Submissions, Re-submissions and Reconciliations.

Communicates with pharmacy benefit managers to determine patient Coverage for the requested medication.

AL SAHA AL SHIFA HOSPITAL (Day Care Surgery),Sharjah Front Office cum Insurance Coordinator

Feb 2017-April 2017

Metropolitan Medical Center,Oud Metha

(General Medicine,Physician,Dental,Xray,Gynaecology) Insurance Manager

July 2014 –Jan 2017

Create and modify procedures and documents related to policies

Assist in claims management

Identify and analyze risks associated with policies

Achieve target budgets

Minimize risk of financial loss

Preside over claims investigations

Review insurance policies

Manage insurance data for reports

Al Noor Polyclinic(GHI),Dubai

(GeneralMedicine,Gen.Surgery,ENT,Dermatologist,Gastroenterology,Orthopedics, Pediatrics,Gyneacology,Cardiology,UrologyXray,Lab,Opthalmology,Physiotherap y)

Front Office Incharge

June 2009 – July 2014

Managing and training the team of receptionists

Ensuring the front desk provides a professional and friendly service for customers

Dealing with customers, including handling complaints when they Come to the desk

Troubleshooting emergencies

Scheduling the staff rota

Liaising with other departments

DR. Sunny Medical Centre,Sharjah

(GeneralMedicine,Gen.Surgery,ENT,Dermatologist,Gastroenterology,Orthopedics,Pe diatrics,Gyneacology,Cardiology,UrologyXray,Lab,Opthalmology,Physiotherapy) Front Office ExecutiVe

Dec 2005 -Feb 2009

DeliVer excellent customer serVice, at all times.

Welcomes patients and Visitors by greeting in person or on the telephone; answering or referring inquiries.

Registering the patients by filling Patient Registration Forms.

Helps patients in distress by responding to emergencies.

Responsible for keeping the reception area clean and organized.

Prepare documents and reports in timely manner.

Maintains strict confidentiality related to medical records and other data.

Explaining coVerage of medical benefits to patients when required.

Attend departmental meetings and management meetings as required.

Attending incoming &outgoing calls with proper etiquettes and maintaining records for them.

Patient appointments scheduling.

Maintain effectiVe insurance and patient billing system with proper CPT codes.

Perform general, clerical duties like copying, mailing and faxing as the need arises.

AMRITA INSTITIUTE OF MEDICAL SCIENCE

(AIMS is a multi-super specialty Hospital with 775 patient Beds, haVing IS0 9001-2000 Certification.)

Medical Secretary (ICU, WARD & CASUALITY)

June 2003-NoV 2005

ReceiVe patients from Causality, assist them with filling out forms, maintain and retrieVe medical files.

Prepare discharge summary.

Maintain physical stock and Computer stock

Helping out transferring patients from Causality to ICU

Knowledge of medical terminology and be familiar with Various medical procedures and business practice.

Handling Medico -legal cases(MLC) and issuing wound certificate if necessary

Scheduling patient appointments and arranging referrals; billing patients and third-party payers; controlling accounts receiVables; transcribing dictation; preparing medical reports, patient histories etc.

Education

Graduation (BA Literature - English)

M.G. UniVersity, Kerala.

Certificates

Achievement Award for Outstanding Customer Service (May 2011)

Certificate of Appreciation for Contributions to the team (August 2012) Training Course

Joint Commission International Accreditation Seminar(April 2011) Exam Passed

IELTS with 5.5 Band Score

Computer Knowledge

Diploma in Ms Office Applications

(Word, Excel, PowerPoint, Internet)

Skills:

Strong communication and Interpersonal Skills.

Ability to pay attention in detail.

Ability to work as a part of team.

Discreet.

Ability to think quickly and solVe problems.

Ability for multi task.

Methodical and well organized.

Languages

English, Hindi, Malayalam, Tamil, Arabic.

Hobbies

Dancing

Reading

Listening to Music

Personal Details:

o Date Of Birth :26.09.1980

o Age : 40 Years

o Marital Status : Married

o Nationality : Indian

o Passport No : N2181139

References

Nitin Gopal

AGM Marketing

International Department

Amritha Institute Of Medical Science

Ph No.+919*********

Dr.Jijo Paul

Mazhuvenchery Multi Speciality Dental Clinic

Aluva, Phone No.+919*********

Praveen Noronha

Metropolitan Medical Centre

Oud Metha.Dubai, Ph No.+971*********

Neighbour

Rajesh R

Thara Constructions

Kiliroor P O,Kottayam

Ph No.+919*********



Contact this candidate