Merlin Moncy

Desire to take up a challenging and rewarding career in the field of Medical field with dedication and to contribute towards the progress of the organization.

Pharmacy Assistant - MURPHY PHARMACY - Charlottetown, PEI

(2023-08)

Support the efficient functioning of the pharmacy and assist in the dispensing of medications.

• Answer telephone inquiries regarding prescription status, store hours, and pharmacy procedures.
• Demonstrate professionalism and empathy when handling sensitive patient situations while preserving confidentiality.
• Manage rejected claims and billing discrepancies with insurance providers.
• Maintain accurate patient profiles and pharmacy documentation.
• Assist with compliance packaging, blister packs, and medication administration records (MARs).
• Collaborate with pharmacists, nurses, and long-term care facility staff to ensure timely medication services.
• Utilize pharmacy management software for prescription processing and billing activities.

Code Based Reimbursement Specialist - Cleveland Clinic Abu Dhabi

(2019-10 - 2023-07)

Responsible for reviewing, abstracting, analyzing and coding diagnostic and procedural information accurately to meet DOH regulatory and JCI requirements.

• Assigned and sequenced ICD10, CPT and HCPCS codes to diagnoses and procedures from patient records.
• Performed quality checks for team members and actively trained new joiners.
• Maintained collaborative relationships with physician groups to resolve coding-related challenges.

Team Leader – Coding & Reconciliation - Accumed Practice Management LLC - Dubai

(2014-07 - 2018-12)

• Handled high balance insurance billing and denial management.
• Ensured compliance with billing regulations and insurance requirements.
• Processed PBM services and prescription claims.
• Reviewed and audited claims prior to submission.

Medical Claims & Billing Auditor - Cambridge Management Technology

(2013-07 - 2014-07)

• Audited outpatient coding and billing for multi-specialty clinics.
• Worked with insurance companies, healthcare providers, and patients for claim processing.
• Processed authorizations and outpatient claims.
• Processed claims according to ICD-9, CPT and HCPCS standards.

Certified Professional Coder (CPC) - AAPC

Masters in Pharmacy - Pharmacology - SRIPMS (2009-11)

Bachelors in Pharmacy - The Oxford College of Pharmacy (2007-03)