sharmanath أندي, Out Patient Authorizatio Incharge

sharmanath أندي

Out Patient Authorizatio Incharge

Al Zahra Private Hospital

البلد
الإمارات العربية المتحدة - دبي
التعليم
الثانوية العامة أو ما يعادلها, Executive Masters in Business Administration Healthcare and Hospital Management
الخبرات
10 years, 1 أشهر

مشاركة سيرتي الذاتية

حظر المستخدم


الخبرة العملية

مجموع سنوات الخبرة :10 years, 1 أشهر

Out Patient Authorizatio Incharge في Al Zahra Private Hospital
  • الإمارات العربية المتحدة - دبي
  • ديسمبر 2012 إلى مايو 2014

Taking care of all Out Patient Approval

Admission and Discharge Supervisor في Saudi German Hospital
  • الإمارات العربية المتحدة - دبي
  • يونيو 2012 إلى نوفمبر 2012

Supervision of admission and Discharge

Insurance Assistant في canadian specialist hospital
  • الإمارات العربية المتحدة - دبي
  • يونيو 2009 إلى يوليو 2010

Canadian Specialist Hospital From July 2009 to July 2010
(200 bedded Hospital - 50 Clinics)
Insurance Assistant

Roles & Responsibilities:
• Prepare cost estimates mainly for various out-patient and in-patient cases.
• Contact Insurance Companies for verbal approval for necessary cases.
• Review and distribute the pre-approvals to concerned departments on regular basis and without delay Identify unusual denials and medical report requests and contact the Insurance companies for further discussion.
• Coordinates with external and internal clients for approval-related information.
• Distributes Insurance related updates to all concerned areas.
• Updates the Insurance Manager about any unusual denials/issues from Insurance companies for further discussion.
• Establish and maintain the approvals files for easy access for Dispatch and resubmission team
• Develop methods to reduce errors in billings & claims
• Full knowledge of insurance activities, Full knowledge of billing and claims process
• To give approvals for the patients, Responsible for patient in spot problems solving regarding the pre-authorization and claims payments.
• Training of insurance assistants to arrange the claims and submitted and re submitted for unpaid claims.
• Deals professionally with customers, and provides effective service and Customer satisfaction surveys
• Handling independently the Claim, Approval, Administration (Insurance related) including Account Dept.
• Preparing Claim, Monthly Statement and Outstanding Statement and Processing insurance claims in a timely manner
• Professional experience with demonstrated competency including management and leadership skills
• Reporting : To the Insurance and Finance Manager on Daily basis


Reference: Dr. Al Harith Taqa, Insurance & Billing Manager, Canadian Specialist Hospital, PH: 04 - 3372222

Hospital Administration Coordinator في Cedars - Jebel ali International Hospital
  • الإمارات العربية المتحدة - دبي
  • فبراير 2006 إلى مايو 2009

Feb 2006 - Present Cedars - Jebel Ali International Hospital Jebel Ali, UAE
Hospital Administration Coordinator
• Registering the Patients, Organizing the staffs at Cedars - DIP Clinic & Cedars - Freezone Clinic, Coordinating with CEDARS-JAIH ( DIP Clinic & Cedars - Freezone Clinic )
• Providing Higher level of Service for all Patients, Preparing of Pharmacy Ac-counts, Clinic Accounts and Monthly Maintenance
• Maintaining the stock of Stationary and House Keeping Item in DIP Clinic & Cedars - Freezone Clinic, stock ledger on daily basis and Updating to the pur-chasing department on weekly basis Preparing inventory for all maintenance, Housekeeping, Stock and Administration, Updating all documents ( Internal Memos, referral cases, Cedars Manual Invoices, Medical Waste Invoices, House Keeping, Stationary Requisition etc )
• Preparing weekly and Monthly Reports and Establishment of new format for the Companies and Insurances. Arranging ambulance services as per patients re-quest (either from the Dubai Police or from Cedars Hospital). Reporting to the Head of Marketing & Operations Manager and Finance Department ( Cedars - JAIH )
• Accounts: Maintain Company Invoices (Clinic Invoice, Pharmacy Invoice, Pa-tients prescription, LPO Forms and Approval Forms), Preparing Monthly Ex-penses Invoices on daily basis and sending to the finance department, Sending of Monthly Summary with invoices to the finance Department. Preparing Monthly Statements for the contractual clients and consolidated reports for the insurance reports to the Accounts Department.
Insurance: Preparing Insurance claims forms (Alico, Next care, Ascana, Ahlan Care etc.)Taking Approval from the Concerned Insurance Company and Direct-ing the Patients. Ordering Insurance Claim Forms Alico, Next care, Ascana, FMC, Al Mussalla, and Neuron etc.

Customer Service Executive في Apollo Hospitals Enterprises Ltd
  • الهند
  • مارس 2003 إلى يوليو 2005

Roles & Responsibilities:

Front office and guest relation
Providing necessary support to ensure the registration and admission process
Assisting and directing the patients to the concern Doctors
Performing and maintaining medical records
Coordinating and providing highest levels of service to all the patients
Providing a comprehensive secretarial service to all consultants
Preparing, updating and dispatching reports to all the companies
Submitting reports to the concern doctors
Collecting and sorting the reports to all the patients
Handling cash and making bills for the customers
Reporting daily basis to the administrator

Marketing & Sales Executive في Tvs Electronics Ltd
  • الهند
  • أكتوبر 2001 إلى نوفمبر 2002

Roles & Responsibilities:

Expansion of Dealer Network and providing Market support to the Company.
Conducting Market surveys to know the pulse of the products and thereby implement changes
Executing new products launched to customers
Sales achievement by the target forced by company
Conducting customer satisfaction surveys, handling queries and sorting out customer complaints
Maintain and develop rapport and healthy business relationship with Customers
Ensuring prompt delivery of orders and highest levels of service at all times
Daily reporting to the marketing manager

الخلفية التعليمية

الثانوية العامة أو ما يعادلها, Executive Masters in Business Administration Healthcare and Hospital Management
  • في Medvarsity - Apollo Hospitals Private Limited
  • يناير 2015

Course provided by Apollo Hospitals private Limited and i will completing the course by May 2015

بكالوريوس, Quality Management and Accreditation of Healthcare Organization
  • في Post Graduate Programme
  • أغسطس 2013

NABH, NABL accreditation approved by ISQUA

دبلوم, Certification of Lean Six Sigma - Green Belt Holder
  • في International Institute of Project Management
  • أغسطس 2013

Process Improvement

دبلوم, Lean Six Sigma in Healthcare
  • في Med Expert India Private Limited
  • أغسطس 2010

Healthcare process improvement

ماجستير, Business Administration
  • في Madras University
  • ديسمبر 2009
بكالوريوس, Hospital Management
  • في Madurai Kamaraj Unversity
  • مايو 2009

Hospital Management

بكالوريوس, Microbilogy
  • في Mahalakshmi College of Arts & Science,Madaras University
  • مايو 2000

Studying of Micro-Organisms with the help of Microscope

Specialties & Skills

Insurance
Administration
Billing
Administration

اللغات

التاميلية
متمرّس
الانجليزية
متمرّس
الهندية
مبتدئ
الأوردو
مبتدئ