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Hiren Vasu, Revenue Cycle Manager

Hiren Vasu

Revenue Cycle Manager·Life Diagnostics - Abu Dhabi

الإمارات العربية المتحدة

بكالوريوس,

الخبرة العملية

مجموع سنوات الخبرة: 17 سنوات, 0 أشهر

Revenue Cycle Manager

يناير 2020 - أغسطس 2020

Life Diagnostics - Abu Dhabi

أبو ظبي، الإمارات العربية المتحدة

يناير 2020 - أغسطس 2020

• Leading the implementation of various policies improved over time for daily operations.
• Creating an organized flow/life-cycle of claims from submissions to re-submission to optimize the use of available resources.
• Led the systematic training of each department as per their participation in the claim life-cycle with specific points being emphasized.
• Aided the management in resolving the long standing discrepancy with insurance companies.
• Led the closing of re-conciliation of claims for the previous year and created a clear path for the future.
• Proactively led the empanelment of missing insurances and networks to expand the portfolio and increase revenue flow.
• Created simplified channels for communications between partners and the diagnostic centre.
• Promoted the creation of a cohesive and open environment for proper reporting of results and maintained excellent communication with the contracted partners.
• Led the application of tried and tested strategies for successful re-submission of the centre and respective partners.
• Provided grounds for further employment by growing the insurance team to cater to the expanding portfolio of partners.
• Aided in creating of an environment to encourage daily submission of laboratory and radiology claims.

مجال الشركة:
العيادات الطبية
الدور الوظيفي:
الطب والرعاية الصحية والتمريض

Insurance Supervisor

يوليو 2017 - أغسطس 2019

King's College Hospital London - UAE

دبي، الإمارات العربية المتحدة

يوليو 2017 - أغسطس 2019

Supporting role for clinical operations within the scope of Insurance and revenue cycle in the Jumeirah and Marina clinics.
• Developing internal patient focused policies in regards to Insurance based on DHA protocols.
• Developed patient pathways based on extensive case analysis starting with reception through Nursing/Doctor to billing.
• Assisting in the development of the HIS and the patient accounting portal, working closely with the developers and management to find optimal solutions to operational issues.
• Continuously troubleshooting RCM related problems in the RHES (SRIT) & Cerner systems.
• Pioneered the idea of creating a guide for insurance practices based on specialities of doctor’s and insurances accepted at the facilities.
• Initiated the practice of maintaining multiple reporting sheets to act as tools, data points for analysis which would help in maintaining and improving standards of service.
• Coordinating with Insurance and RCM teams to create an efficient model for training of the doctors, nurses and administration to provide unparalleled patient centric service.
• Designed multiple training modules based on analysis of administration & nursing operations, also provided customized extensive training to multiple teams in various facilities.
• Led the resubmission of denied claims under special permission from DAMAN for the past 3 years. Also successfully resubmitted denials in a timely manner.
• Overseeing the accurate and timely submissions of claims over various platforms like DHPO and Shafafiya.
• Ensured accurate verification of claims based on technical and medical evaluation.
• Managing the operations for corporate clients to ensure proper quality of service and standards followed.

مجال الشركة:
خدمات الرعاية الصحية الأخرى
الدور الوظيفي:
الإدارة

Assistant Insurance Claims Supervisor

أغسطس 2012 - يونيو 2017

Mediclaims FZ CO.

دبي، الإمارات العربية المتحدة

أغسطس 2012 - يونيو 2017

• Organize the preparation and submission of the financial reports, exclusively handling the Revenue Cycle Management Ex: Reduced claim rejections by 74%
• Developed first ever comprehensive database. Ex: “Claim Life-Cycle” responsible to organize medical records for the company for future reference & re-submission purposes
• Led the development of HIS (Hospital Information System) in association with third-party system developers Ex: created a step-by-step flow chart that allows for prompt and accurate extraction of information
• Led the training and development of multiple teams including my own on the operational procedure of HIS Ex: In-patients team (15), Endoscopy (10) and 3 from Insurance dept.
• Re-submission:
• Responsible for the creation and issuance of the monthly report outlining the complete patient insurance cycle Ex: Improve and streamlined the efficiency of reducing the time-scale of the submission process from monthly to daily basis
• In-depth knowledge of insurance products, procedures and claims, ensuring the accuracy of data and protocol adherence concentrating on compliance with HAAD (Health Authority Abu Dhabi) adjudication protocols

مجال الشركة:
خدمات الرعاية الصحية الأخرى
الدور الوظيفي:
الإدارة

Freelance Market Researcher

مايو 2003 - أغسطس 2012

Pan Arab Research Centre

غير ذلك

مايو 2003 - أغسطس 2012

Assist PARC & AMRB in their market research of many different and interesting aspects of business, such as psychodynamic qualitative research, opinion polling, and media monitoring and research services.

مجال الشركة:
التوزيع والخدمات اللوجستية وسلسلة التوريد
الدور الوظيفي:
البحث والتطوير

Event Co-ordinator

يوليو 2011 - مارس 2012

Event & Wedding management

دبي، الإمارات العربية المتحدة

يوليو 2011 - مارس 2012

- Market Research Head for providing branding solutions to “ MayTag”- Whirlpool/ Jashamal.

- Designed ‘Consumer Based’ surveys and ‘Client Based Surveys’

- Organized competitive analysis for local and international dishwasher brands.

- Organized Press Conference and Media Monitoring for Phone Launch- Magnus Mobile.

- Branding and Advertising storyboarding concepts for Retail brands (Edible Arrangements and Frozen Yogurt.

مجال الشركة:
العلاقات العامة
الدور الوظيفي:
التسويق والعلاقات العامة

Document Controller

نوفمبر 2009 - مارس 2010

Ec Harris International Ltd.

غير ذلك

نوفمبر 2009 - مارس 2010

- Organizing, maintaining & shifting the complete filling system between multiple site offices.

- Liaising between various contactors, the client, & the project managers on site.

مجال الشركة:
خدمات الاستشارات التجارية
الدور الوظيفي:
إدارية

Document Controller

نوفمبر 2009 - فبراير 2010

Ec Harris International Ltd.

غير ذلك

نوفمبر 2009 - فبراير 2010

- Acted as main point of distribution between contractors, client, landlord and project managers on site

- Arranged and maintained a comprehensive filing system for documents and registers

مجال الشركة:
خدمات الاستشارات التجارية
الدور الوظيفي:
إدارية

ATM Leasing Manager

نوفمبر 2008 - نوفمبر 2009

Standard Chartered Bank

دبي، الإمارات العربية المتحدة

نوفمبر 2008 - نوفمبر 2009

- Researched and strategically identified key new locations for ATM's

- Organized and managed the installation process of new machines

- Actively managed all aspects of existing ATM portfolio, resulting in cost savings of over 800, 000 during the project (around 10%) through re-negotiation of existing terms and rental agreements

مجال الشركة:
البنوك
الدور الوظيفي:
البحث والتطوير

Business Consultant

يونيو 2008 - سبتمبر 2008

Henyep Investment Bank

غير ذلك

يونيو 2008 - سبتمبر 2008

- Specialised in European, Japanese, UK and US products as well as key commodities, such as Bullion, Energies, Indicies etc.

- Assisted the development and promotion of online trading platform

- Grew the business portfolio through designing effective investment proposals for new clients

- Conducted extensive analysis of international capital markets with particular attention to fundamental and technical influencing factors

مجال الشركة:
الخدمات المالية
الدور الوظيفي:
المبيعات

Channel Development Executive

يوليو 2007 - يناير 2008

Standard Chartered Bank

غير ذلك

يوليو 2007 - يناير 2008

- Assessed channels and methods for growth, personally responsible for identifying and arranging leasing, branding and delivery of 77 new ATM's across Dubai and Abu Dhabi

- Was selected to work as the pivotal direct link between Corporate Real Estate Services and Channel Marketing Departments

مجال الشركة:
البنوك
الدور الوظيفي:
البحث والتطوير

Sales Support Executive

مايو 2006 - يناير 2007

Millenium Insurance Brokers L.L.C

غير ذلك

مايو 2006 - يناير 2007

- Key account management and complete serving of commercial and personal clients in life and medical insurance departments

- Advised clients on their insurance requirements

- Developed and maintained the company's relationships with existing insurance providers, and introduced new products and companies where appropriate

- Generated and handled new enquiries in line with company's high standards of service

مجال الشركة:
التأمين
الدور الوظيفي:
إدارية

التعليم

Madonna University, Michigan

ديسمبر 2011

ديسمبر 2011

بكالوريوس،

الولايات المتحدة

Our Own English High School

مارس 2004

مارس 2004

الثانوية العامة أو ما يعادلها، Commerce

الإمارات العربية المتحدة

Skills

Adobe
Expert
Adobe
Expert
Analyst Relations
Expert
Analyst Relations
Expert
Administration
Expert
Administration
Expert
Operations Research
Expert
Operations Research
Expert
Facility Management
Expert
Facility Management
Expert
Adobe CS5
Beginner
Adobe CS5
Beginner
Adobe Photoshop
Intermediate
Adobe Photoshop
Intermediate
Team Development
Intermediate
Team Development
Intermediate
Micosoft Office
Expert
Micosoft Office
Expert
Insurance Re-Submission
Expert
Insurance Re-Submission
Expert
Revenue Cycle Management
Intermediate
Revenue Cycle Management
Intermediate
Policy Development
Intermediate
Policy Development
Intermediate
Reporting
Intermediate
Reporting
Intermediate
Claims Management
Expert
Claims Management
Expert
Adobe
Expert
Adobe
Expert
Analyst Relations
Expert
Analyst Relations
Expert
Administration
Expert
Administration
Expert
Operations Research
Expert
Operations Research
Expert
Facility Management
Expert
Facility Management
Expert

اللغات

الانجليزية
متمرّس
الهندية
متمرّس
العربية
مبتدئ

التدريب و الشهادات

التدريب
Property Management Course
RERA Dubai
May 2009

الهوايات

  • Playing & listening to Music, Blogging, tech news, writing
    My blogs, 1. http://superninja86.wordpress.com/