فاطمة ليماليما, Insurance Coordinator

فاطمة ليماليما

Insurance Coordinator

Medica International Medical Center

البلد
الإمارات العربية المتحدة
التعليم
بكالوريوس, Business Administration Major in Marketing Management
الخبرات
5 years, 3 أشهر

مشاركة سيرتي الذاتية

حظر المستخدم


الخبرة العملية

مجموع سنوات الخبرة :5 years, 3 أشهر

Insurance Coordinator في Medica International Medical Center
  • الإمارات العربية المتحدة
  • أشغل هذه الوظيفة منذ فبراير 2020

-Reviewing all the company's expenses, invoices and issuance of cheque to settle monthly payments.
-Submitting of monthly insurance reports- claims payment, denials and unpaid claims to General Manager.
-Day to day checking of payments received from each insurance companies.
-Coordinating with Daman, Thiqa, NAS, Neuron, Nextcare and Axa for the approval of the requested treatments.
-Sending of request for the treatments of the patient with correct attachments to each affiliated insurances through the company's reliable system, DOK32.
-Reviewing all the information indicated in the approval for claim submission before sending it to each insurance house.
-Responsible for evaluating and validating the insurance information to verify claims and process the necessary claims and resolutions for parties.
-Represent the company for the yearly Jawda Audit.
-Attends to patient's complaint regarding the approval status.
-Arranging the schedules of the Head Doctor.
- Checking and resubmitting the rejected claims.
-Daily checking of the pending request.
-Interact on daily basis with Doctors, Nurses, Receptionist and other healthcare professionals to ensure accuracy and completion of billing.
-Maintain strictest confidentiality: adheres to all insurance guidelines or regulations.

Administrative Assistant في Communities, Cebu Inc
  • الفلبين - Mandaue City
  • يونيو 2019 إلى يناير 2020

-Authenticating the Dead of Absolute Sale, Home &
Lot Tax Declaration, Birth Certificate, Deed of
Conveyance and others.
- Coordinating with the Bureau of Internal
Revenue about the Tax Declaration of the house
and lot transfer.
-Attending to clients concern and ensuring that
they received notable first impression of the
company.
-Authenticating the Dead of Absolute Sale, Home &
Lot Tax Declaration, Birth Certificate, Deed of
Conveyance and others.
-Performed routine clerical tasks such as encoding,
mailing, copying, filing and scanning.

Intern في Philippine National Bank –A.C Cortes Ave
  • الفلبين
  • يوليو 2018 إلى أكتوبر 2018

Philippine National Bank -A.C Cortes Ave, Mandaue City, Philippines
July 2018-October 2018

-Pulling out some defective cheques and return it to the clients
-·Performing clerical tasks such as encoding, scanning, photocopying and filing of documents.
·Answering telephone calls and taking clients concerns.
-Reckoning of coins

الخلفية التعليمية

بكالوريوس, Business Administration Major in Marketing Management
  • في University of San Jose Recoletos (USJR)
  • يناير 2019

Graduated as Cum Laude ·2nd Semester Dean’s Lister, University of San Jose Recoletos S.Y. 2017-2018 ·1st Semester Dean’s Lister, University of San Jose Recoletos S.Y. 2018-2019 ·4th Placer Top Notcher in Departmental Exam for “STRATEGIC THINKING” ·Certificate of Completion for Completing the training course in “SAP BUSINESS ONE”

Specialties & Skills

Recruitment
Marketing
Financials
Communication Skills
Time management skills
CUSTOMER RELATIONS
INSURANCE
BILLING
CLERICAL
FILE MANAGEMENT
RECEPTIONIST
GENERAL MANAGEMENT

اللغات

الانجليزية
متمرّس

التدريب و الشهادات

SAP Business One (تدريب)
معهد التدريب:
University Of San Jose Recoletos

الهوايات

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