CLAIMS OFFICER
Abu Dhabi National Insurance Company
Total years of experience :8 years, 2 Months
- Reviewed and processed clinical documentation for both Outpatient and Inpatient claims from clinics and hospitals within the UAE.
- Knowledgeable in implementation of Defined Diagnosis-Related Groups (DRGs) when processing inpatient hospital payments.
- Resolved claims by approving or denying documentation and calculating benefit.
- Knowledgable with ICD-10 and CPT classification systems.
- Enquired when documentation and data are deemed inadequate or ambiguous to ascertain specific
conditions and procedures.
- Paid attention to detail regarding provider concerns and addressed their queries and achieved an exceptional level of customer service.
- Worked for a period of 5 months in Academy Dental Teaching Hospital in Khartoum, providing dental services for the public at a low to no cost fee.
- Examined teeth, interpreted radiographs and diagnosed oral conditions of patients with varied ages.
- Restored form and func on of carious, fractured, and defected teeth with cost-effective methods.
- Collecting and accurately recording patient medical history, including radiographs.
- Performing restorations, prophylactic and other dental treatments as patient examination indicate needed.
-Applying for approval to insurance for dental treatments as required.
Worked in Sharjah Teaching Dental Hospital for a period of 2 years during
my residency program.
• Examined hard and so ssue, both clinically and radiographic to iden fy
abnormali es.
• Iden fied, analysed and recorded condi ons and oral pathology.
• Assisted, diagnosed and treated special case pa ents and performed full
mouth rehabilita on cases.
- Volunteered for a period of 10 months in Sharjah Correctional Facility during my residency program with a focus on oral health care, instructions, benefits and treatment of organizational inmates.
- Educated patients on oral hygiene and motivated them to incorporate and maintain good daily oral regime.
- Reviewed and presented monthly reports on cases worked on.
- Audited patient files in the database and accurately recorded treatment information in patient records in addition to clinically treated patients.
- Assisted fully in creating the hospital's website, including layout, site map, page content and media selection.
- Created and managed the hospital's Facebook and Twitter pages increasing recognition and exposure.
Enrolled in ongoing