Insurance Officer (Sheikh Khalifa Medical City) - REACH Employment Services - Sheikh Khalifa Medical City
(2018-09 - 2020-11)
- Motivate and inspire team members.
- Facilitate problem solving and collaboration.
- Members have the necessary education and training to effectively participate on the team.
- Making sure everyone is on track and organized.
- Support and motivate the team members to accomplish the assigned tasks.
- Giving prompt and accurate information on individual staff member performance.
- Reporting to senior managers.
- Involves coordinating with Insurance Company with regards to approvals.
- Sending the pre-authorization request for approval to insurance company with appropriate CPT and ICD codes.
- Asking verbal approvals when necessary.
- Auditing the claims before sending the claims for submission.
- Processing the bills before sending to insurance company.
- Prepare the resubmission file of claims with comments with additional information if required.
Medical claims Processor - Burjeel Hospital
(2014-03 - 2018-07)
- Responsible for submission of claims Inpatient/Outpatient includes long term, Transfer Case, Hemodialysis and IVF. Adjudicates for provision of deductibles, Co-Payment, Co-Insurance Maximum and Provider settlements.
- Performed audit of each claims to ensure quality processing.
- Provided timely customer service to members, providers, Billing departments and other insurance companies on the subject of claims.
- Recognized by supervisor for proactively assisting hospital clients with billing and simple inquiries.
- Works with billing error margin of only less than 2% monthly.
- Exceeded KPIs in maintaining SAP system that leads to company leverage.
Document Controller cum Archive Clerk - Advanced Business concept (ABC) LLC
(2011-10 - 2013-11)
- Encodes information from department forms into Baan ERP 5 system to ensure information is accurately processed.
- Keep track of all documents correspondences and transactions. Maintain and Updates all documents.
- Awarded "Employee of the Month" for three (3) consecutive months for efficiently serving customers.
- Able to reach and exceed monthly personal quota within the store.
