Credit Coordinator
Mediclinic City Hospital
Total years of experience :17 years, 6 Months
Major Responsibilities:
• Credit Bills Dispatch to concerned Insurance company
• Insurance Approvals Verification
• Maintaining spread sheets for regular follow ups done and collection target achieved.
• Preparing Credit Note for Outside Referrals Business.
• In-patient cost estimates and pre-approvals done for routine procedures only Insurance companies contacted for verbal approval.
• Bills are screened and missing information completed. Motivation requests forwarded to the concerned doctors.
• Coordination with billing cashiers, doctors, nurses to ensure that bills are completed.
• Checking all Reports are done or not
• Completed bills with the relevant supporting documents are dispatched to the different insurance companies within the stipulated period
• Filing all Invoices
• Looking on Collection
• System updated with payments and dispatched bills. Statements and reminders sent to clients as per guidelines. Monthly collection targets are met.
• Narrations are made for all communication with patients and clients
• Bills followed up and coordinated with Dispatch and Collection functions, billing cashiers, doctors and nurses to ensure that bills are completed.
• Disallowance verification
• Resubmit disallowed bills within stipulated period to different insurance companies.
• Monthly generation of statements from the system. Maintain database of bills processed
• Patient files are retrieved and returned as per standard procedure
• Participation in Quality Improvement projects is demonstrated Patient information confidentiality is maintained
• Ensures all work meets and/or exceeds applicable codes and standards
• Insurance queries are resolved...
As an Executive - Marketing, July 2010 - Sep 2011
• Receives referrals form from deferent source of Corporate, Hospitals & Clinics.
• Checking of referrals form related Drs query justified by the Dr.
• Submission of financial referral statement to Finance Department.
• Verifying and preparing of final bills.
• Prospective Corporate identified, agreements reviewed, selection made and contracts awarded.
• Organizational policies implemented after agreement signed.
• Follow up and negotiations with company where needed to ensure approval of problematic cases.
• Corporate protocols complied with at all times.
• Disallowance reasons evaluated, improvement areas identified and changes implemented.
• Submission of Marketing department statistics on a monthly basis.
• Co ordination and making new tie up With Corporate Companies existing U.A.E like, AL FUTTAIM GROUP, AL NAKHEEL, ASIANET GROUP, BIN KAMIL GROUP, BIN LADEN, DABHASHI ENGINEERING, DAMAL AIRLINES, DESTINATIONS OF THE WORLD, DUBAL, EMIR TEC, GEO ELECTRICALS, GERMAN, GULF ENTERPRISES.LTD, GLOBE MERCHANDISERS CO, LTD, GULF TAINER, IKTRA SHIPPING, JUBBA GENERAL, RADING, KELLER GRUNDBAU GmbH, LANDMARK GROUP, Maltrans Cargo /, Al Ghaith Shipping Pls, MASAFI, NATIONAL BANK OF DUBAI (Employees & Families), CEANIC, PARIS GALLERY, RADISSON - SAS, SKY NET, SULTAN GROUP, UNITED ARAB BANK (Staff)UOWD ( University of wollgong Dubai), Citi Tec…
1. Co ordinate with Synapse for Continues education With Deferent corporate
2. Reports to team as batch wise, mentioning total referrals amount and its concerned sponsor amount of the Referrals forms.
As an Executive - Insurance Accounts
• Receives Claims form from Insurance front office as per batch wise.
• Checking of Claims form related Diagnosis, Sings and Symptoms etc, justified by the Dr.
• Checking and assuring of all reports are attached with Claims form, that has been advice and conducted by the Dr.’s instruction
• Checking and assuring of Prescription sheet are attached with Claims form, This indicate the medication prescribed by the Dr.
• Removal and Clarification of Yellow Chits, if any deviation like Discounts structure or collection of deductible amount while consultation, Sponsor Amount offered by the Insurance Company, clarification of bill amount by mistakenly entered etc, of bill the Claims form it has been mention on the Yellow Chits on Claims form by the Insurance executive.
• Editing and preparing of final bills.
• Checking and assuring Discounts structure and Sponsor amount charged as per charts, it should be justified and issued by the Insurance Company.
• Closing of Claims form from the system after all clarification, i.e. ready for dispatch.
• Reports to Manager in Finance as batch wise, mentioning total Claims amount and its concerned sponsor amount of the Claims forms.
IV - Al Shifa Hospitals (P) LTD INDIA: I have been employed as an ECHS cum Insurance Executive for Al shifa Health Limited. India. A leading Hospital group flourished in well health care and
Education sectors. 2006 - 2007
Key Functions:
As an ECHS cum Insurance Executive in HCMD
• Collecting and Preparation of statement of accounts in different entities and other
branches
• Follow up suppliers for accounts settlement and invoice reconciliation
• Coordinating with various departments for smooth running of finance & cash flows
• Maintaining good relation with investors and providing details regarding company and new projects
• Post Graduation: Pursuing Master program in Marketing Global University, Nagaland (India)
PROFICIENCY IN COMPUTERS: • MCSE, N+ (Courses are completed) Indian Institute of Hardware Technology LTD, Bangalore, India.
• Diploma in Accounting & Tally Management (G-Accounting) from 'G-Tech Computer Education, under (Govt. of India & American University) Calicut, Kerala, India. Techni cal Skills Technology DIPLOMA IN INFORMATION • Operating System DOS, Win 2K/Xp and windows 2003. • Word processor Microsoft Word. • Spread sheet Microsoft Excel. • Language C++, VB 6. • Softwar e Tally, HIS (Linux based Accounting package) Adobe Photoshop. • Information System Internet, E-mail.
B.Com (Bachelor of Commerce) from Viswa Bharathi University, Raipur, India.
• DIT (Diploma in Information Technology) SizCom Institute of Computer Engineering, Kerala, South India.