Insurance manager-E-claims processor-Coordinator
Globalnet TPa
Total des années d'expérience :8 years, 5 Mois
Handling/ supervising insurance department of 11 clinics and 9 pharmacies of the company .
Supervising and guiding the insurance Department - a team of 6 staff members .
Performing e-prescription, e-claims, and reconselation and payment follow - up of patients .
Coordinating with insurance companies regarding payment and other issues .
Reviewal and approval of claims.
Liaising with doctors & service providers, pre - authorization . Making online mediclaim and e-claims, in UAE (Dubai and Ajman).
Processing and coordinating the online Mediclaims of various TPA Formalities.
Handling e-Claims process, sending all claims to insurance company wise and payer wise to DHPO.
Support e-prescription process, Mediclaims, Insurance, Reconselation of insurance claims.
Ecliams error solving. Making out final/genuine statements with respect to numerous insurance companies and payment follow-up on monthly basis.
Providing medical consultancy to the patients & prescribing medical course.
Was the incharge of ICU
Responsible for immediate medical support & treatment for accidental & emergencies cases.
In charge for recording history, clinical examination, patient admission and care, Case, Filings, post admission patient care including Drugs, Ordering investigations and Consultations .
Incharge of Intensive Care unit .
In Patient care of medical cases including Intensive Coronary Care unit .
Daily progress notes of all patients, Case Files
Evaluating investigations, consultations, consent and clearances Reporting all abnormal findings/reports/events to JC/AC/on call, the consultant in charge.
Helping in dressing / pairing wire removal / defect removal .
Coordinating treatment of all patients including changing drugs, ordering investigations and consultations .
Pursued my BAMS from Rajiv Gandhi Medical University, chitradurga, banglore , INDIA . My project was on Childcare and Pediatrics.