Technical Audit Assistance Team Leader– (Processing)
Nextcare (Arab Gulf Health Services)
Total years of experience :19 years, 2 Months
Nextcare - Arab Gulf Health Service Jan (2011) - Till now
Technical Audit Assistance Team Leader- (Processing)
• Receiving claims from Hospitals, Polyclinics, and Pharmacies.
• Handle medical claims and clarified E-claims receiving details.
• Data Entry medical claims.
• Check the statement of account every month.
• Generate tracking forms for all providers.
• Reporting to network provider agreement details.
• Distributing claims to processing department.
• E-claims upload and download.
• XML file correction and verification.
• DHA E-claim and HAAD E-claim downloading submission and RA.
• Verify the Payer ID for HAAD and DHA license codes.
• Checking member and provider network.
• Checking Member insurance card coverage.
• Checking DDC and agreed tariff price lists.
Daman National Health Insurance Company, Abu Dhabi
MCP - Medical Claim Processor
• Data Entry, Claims Processing, and E-Claim Processing achieving new records in my daily targets.
• A to Z Claims Process & verification.
• Medicine with amount verification.
Indian Computers Pvt. Ltd.
Jan (2004) - Jan (2008)
Hardware & Network Administrator
•Assembling, Troubleshooting and sales of the systems.
•Installing, Configuring and Maintaining the Windows 98, 2000, XP, 2003 Server.
•Installation and maintenance of LAN.
•Configuring Switches & DSL Routers at various environments of LAN and WAN.
•Working on Proxy & DHCP Technology.
•Maintain the Server level Hardware and Trouble shooting.
•Troubleshooting Printer related issues.
•Networking Planning/ Installation and Troubleshooting.
•Software and hardware support.