Out Patient Authorizatio Incharge
Al Zahra Private Hospital
Total years of experience :14 years, 7 months
Taking care of all Out Patient Approval
Supervision of admission and Discharge
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
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.
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
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
Course provided by Apollo Hospitals private Limited and i will completing the course by May 2015
NABH, NABL accreditation approved by ISQUA
Process Improvement
Healthcare process improvement
Hospital Management
Studying of Micro-Organisms with the help of Microscope