Operations Analyst
AVIVO Group
مجموع سنوات الخبرة :9 years, 7 أشهر
-Maintain a record and monitor all the updates from all department heads regarding their respective projects
-Review and analyze the proposed projects and performances of each Department Heads along with the CEO and ensure the course of action is followed accordingly
-Provide expertise/advise to the Revenue Cycle Management Head regarding decisions to be done with Insurance Providers
-Creates policies, conduct assessments and interview candidates prior to recruitment as per CEO's request.
-Assist Head of Departments and advise for certain queries they have on their course of action as proposed by the management
-Monitor and manage overall day to day functions of the clinic, (Operations, Human Resource, Accounts, Marketing and Procurement).Keeping all patients and staff needs are attended timely.
-Continuously observe the adherence of the clinic as per Dubai Healthcare City Standards and conduct surprise audits with the staff related to Clinical Standards (CPQ)
-Increased the number of physicians to improve = revenue generation and re-modelling the compensation and commissions structures of the existing physicians
-Maximizing profits by improving the quality of claims while abiding to guidelines of best practice and increasing the number of patients thru consistent follow ups and marketing.
-Implemented a system to avoid any data leakage and improve the clinic Health Records maintenance
-Monitor and manage overall Revenue Cycle Management Team from billing-coding submissions-reconciliation collection-re-submission.
-Coordinate all issues arising from Operations related to RCM and resolve it in the most efficient, effective and fastest way possible.
-Oversee collections and ensure that it is met between 70% to 90% of the target set out monthly. Provide assistance to staff during collections if needed. Train them how to effectively do collections.
-Be the point of contact for Insurance Companies and the facility for any issues, empanelment, price, network, guidelines and all insurance related tasks.
-Organize and conduct trainings to all RCM staffs and keep them updated on the latest circulars and guidelines from insurance companies and health authority.
-Ensure that tasks are done timely within stipulated deadlines and quotas are met while maintaining quality of the claims.
-Efficient, Effective and fast reconciliation of the payments received
from insurance companies versus submitted claims.
-Create Statement of Accounts for the insurance companies and
Management
AVIVO Group
Al Barsha, Dubai, U.A.E.
Aug 2014 / Nov 2016
Create Statement of Accounts for the insurance companies and
send them on a monthly basis to be used for collecting outstanding
claims.
-Prepare daily reconciliation reports and collection reports to ensure
that daily tasks are being followed and targets are met. During end
of month, both reports shall be consolidated and prepared for the
Board and CEO for review.
-Analyze, store claims data, trends and rejections, provide to
concerned staffs and prepare reports for performance improvement.
-Maintain and achieve 70% to 90% collection monthly.
-Providing outstanding Customer Service to bank clients and
Marketing for potential clients through referrals and cross
selling. Offering all possible bank products suitable for the
client’s needs.
-Ensuring proper KYC are done to customers and upright
documentation are maintained. Verifying legal documents and
identification cards with it’s security features and confirmations
from institutions.
-Handling millions of cash in hand. Daily accounting of cash
transactions to ensure zero discrepancy on entries versus system
transactions. Performing basic daily administrative tasks i.e.
filing, emails, phone queries.
-Processing of various bank transactions such as, deposits,
withdrawals, wire transfers or cable transfers, payroll crediting,
bills payment, foreign and local remittances, foreign exchange,
demand drafts and bank statements.
(University of the City of Manila) Gen.Luna St. Intramuros, Manila Philippines. SY 2006-2010
COLLEGE BACHELOR OF SCIENCE IN BUSINESS ADMINISTRATION MAJOR IN ENTREPRENEURSHIP PAMANTASAN NG LUNGSOD NG MAYNILA