Hannan Ali

To associate myself with an organization, which has potential of both, Organizational and Industrial development, scope for learning and utilizing my Skills. To increase satisfaction of organization's clients by means of service and building a relationship between clients & the organization. I am a self-motivated person who is diligent and ambitious.

Adaptable and willing to learn and take new challenges where I can conceive my creative abilities. I am highly professional, confident, organized and possess a pleasing personality and have the ability to interact well with the people.

Insurance Officer (In-patient and Out-patient claims) - Healthpoint Hospital - Zayed sport city, Abu Dhabi, UAE

(2013-01)

• Preparing and analyzing monthly batches for submissions
• Verifying and pointing out errors if any
• Meting insurance KPI and completing tasks prior to deadlines
• Providing lists for updating expired Drugs code
• Verification of medical aspects of all claims
• Making sure proper billing has been done as per service rendered
• Generating and uploading final verified claims batches to HAAD
• Following mandatory HAAD guidelines
• Performing audit of randomly selected claims to ensure quality processing
• Taking necessary step to generate more Revenue
• 24hours claim submission from encounter date
• Preparing monthly submission records
• Performing resubmission according to denial reasons, corrections and internal complaint
• Maintaining low rejection rate through eliminating rejection possibilities from initial submission
• Uploading claims within the timeframe to avoid TIME-001 rejections
• Submitting IP and DAYCASE claims and making sure all the service codes are billed and according to approval obtained

Medical Insurance Claim Officer (In-patient claims) - Gulf Diagnostic Center Hospital - Al Khaleej al Arab St., Abu Dhabi, UAE

(2010-01 - 2013-12)

• Processing direct billing medical claims following the procedure and in accordance with the terms & conditions of the HAAD policies
• Preparing cost estimation breakdown for all DRG and Day cases prior to pre Authorization
• Revising the cost calculations breakdown encase of CPT procedure is changed by the doctor and then resending for authorization
• Billing through system after surgeries are performed and raising invoices
• Following the guidelines of insurance companies for exclusion
• Submission of In-patient xml files to HAAD through Globis in house messenger on monthly basis
• Preparing In-patient summary report on monthly basis
• Keeping proper tracking of surgeries performed by coordinating with In patient department
• Meeting the deadline of claim submissions
• Entering claims data into system
• Providing timely reports to billing and accounts department
• Performing audit of randomly selected claims to ensure quality processing
• Excellent understanding of medical terminology
• Coordinating with the Insurance Staff to ensure that all necessary information is checked for accuracy and compliance with contract discount
• Checking claims prepared for accuracy as per agreement, prior to dispatch to respective insurance companies
• Liaise with treating physicians to receive properly completed claim form requests for services, which require approvals as per policy terms and conditions
• Monitoring the daily admission and discharge process for obtaining a list of admitted patients

Medical Insurance Claim Officer (out-patient claims) - Gulf Diagnostic Center Hospital - Al Khaleej al Arab St., Abu Dhabi, UAE

(2009-01 - 2010-12)

• Responsible for preparing all medical insurance claims and submitting it to insurance companies
• Checking and encoding E claims and then compiling the files to submit it to insurance companies
• Making monthly summary reports
• Submission of claims to HADD through Greenrain messenger, Expert in error corrections
• Meeting the time criteria for submission
• Manage routine daily claims administration work
• Evaluating claims with regards to eligibility
• Coordinate work flow & meet deadlines
• Attending calls and e-mails from insurance companies, clients, and providers
• Making suggestions to improve service
• Increasing efficiency, minimizing errors and administration time

Bachelor of Commerce - Commerce - Qaid-E-Azam College of commerce (2007-01 - 2008-12)

Advanced Diploma of Accounting - Accounting - Australian School of Business Administration and Research (2003-01 - 2005-12)

Higher Secondary School Certificate - Sheikh Khalifa Bin Zayed Arab Pakistani School (2001-01 - 2003-12)

Secondary School Certificate - Sheikh Khalifa Bin Zayed Arab Pakistani School (2000-01 - 2001-12)