Mohammed Rizvan

Results-driven Insurance Associate with 4 years of comprehensive experience in a high-volume hospital. Proven expertise in efficiently managing the full spectrum of patient insurance approvals, including In-Patient (IP), Out-Patient (OP) and Surgical cases. Highly proficient in using the Dhamani system and deep knowledge of local payer regulations, resulting in a successful track record of minimizing claim denials and optimizing the revenue cycle.

Dedicated to ensuring financial clarity for patients and maintaining strict compliance.

Insurance Associate at Aster AL Raffah Hospital (2021 – 2026)

• Managed end-to-end insurance authorization for high-value In-Patient (IP) admissions and complex surgical procedures, securing approvals prior to service delivery.
• Utilized the Dhamani system daily to process claims, verify eligibility, obtain electronic approvals, and track the status of all policy-related tasks efficiently.
• Processed a high volume of Out-Patient (OP) approvals, coordinating directly with clinics, physicians, and insurance companies to prevent delays in patient care.
• Served as the primary point of contact for insurance claim inquiries, addressing discrepancies and performing immediate corrections to prevent financial loss.
• Clearly communicating covered benefits, co-pays, and deductibles to enhance patient satisfaction and transparency.
• Contributed directly to reduction in authorization-related claim denials through rigorous verification and strict adherence to payer guidelines.

Document Controller at M.C Joseph & Company (2018-07 – 2019-09)

• Worked as an Employee in M.C Joseph & Company under Shipping, Clearing and Forwarding Department during the period of July 2018 to September 2019.

Professional Diploma in Shipping and Logistics (2018 – 2018)

B.Com in Computer Application (2016 – 2016)

Diploma in Indian and Foreign Accounting (2015 – 2015)

HSC – Board of Higher Secondary Education Kerala (2013 – 2013)

SSLC – Kerala (2011 – 2011)