Insurance Administrator
MAJESTIC DENTAL CENTER
مجموع سنوات الخبرة :16 years, 11 أشهر
Currently working as Insurance Administrator in Majestic Dental Center, Doha, Qatar from 14th May 2015 to till date.
Role: A senior most position in the Dental Insurance Administrative Department.
Handling all insurance cases like SEHA, AXA, QLM, Allianze, Daman, Globmed, Nextcare, Interglobal, Aenta, etc.
Clarify the coverage limits and matters related to the insurance policy for patients and doctors.
Participates and advice the insurance accountants in the claims processing according to the policies approved by Administrative Director.
Coordinate with doctors in coding service.
Follow up medical approvals from Insurance companies.
Follow up patients accounts and requires payments of each patient, in case of copayment.
Coordinate with the reception staff regarding the dates of the insured patients if needed.
Review insured patient’s files to correct the mistakes, if any.
Claims auditing for perfection before submission.
Rejection review and reply.
Attend meetings and sessions with insurance companies.
Explaining insurance rules to new doctors.
Sending monthly claims to the insurance companies.
Handling companies related to insurance delays/ rejection, otherwise transfer to upper management according to nature of problem.
Coordinating with the auditor in case of audit or medical file review.
Reporting of performance, drops for corrective actions, achievements and departmental planning and follow up of achievements.
Over 12 years experience in the Administration activities in various sectors like Healthcare, Education & IT and well versed knowledge of all Administrative aspects and Personnel Management with a proven record for making the successful business strategies. The responsible person to accept any kind of business challenges by keeping ethical and moral values with positive attitude. Presently holding a senior level position in the Administrative and Operative Functions of the 100 bedded Multi Specialty Hospital having various advanced facilities.
Worked as Administrative Officer in PONNANI MODERN HOSPITAL, Kerala, India (A unit of Raivo Healthcare Pvt. Ltd) from 1st June 2013 to 7th February 2015.
Role: A senior most position in the Administrative and Operative functions of the Hospital and responsible for entire Administrative activities with the authorization to take independent decisions regarding the operative functions. An authorized person for signing all documents of the hospital and related statutory records.
Use sharp business skills to handle long term planning and developing of operative objectives.
Give accurate and comprehensive information to top management for the use of decision making and policy formation.
Involve actively in the expansion/ project work of the hospital.
Implement strategies for cost control and recovery of consumables in the hospital.
Ensure proper patient care and serve as a coordinating person among medical staff, department heads and governing bodies.
Take daily rounds at all floors, casualty and departments as part of ensuring proper health care delivery system.
Daily reporting of important events to Managing Director.
Coordinate meetings.
Involve actively in crisis management and damage control when situations arise.
Co-ordinate with marketing team, planning and executing the marketing programs of the hospital and monitoring the camps & Events.
Directly responsible for the Administration of Pharmacy, Laboratory, Radiology (MRI, C.T & X-Ray), ECO, TMT, ECG, Medical Transcription Department, Casualty, Out Patient Department, Front Office and MRD.
Assist the Medical Administrator in the general administration.
Issuing office orders and circulars pertaining to the Hospital.
Supervise and controlling the work of Administrative staff of the various sections.
Submit Action Plan and Reports to Board of Director, etc.
Responsible to handle all grievances of staff and patients.
Recruitment of all staff and doctors.
Coordinate various activities for facilitating the all types of Inspections.
Responsible person to attend all Private and Government meetings.
Worked as Asst. Administrator in EDUCARE INSTITUTE OF DENTAL SCIENCES AND HOSPITALS, KERALA, INDIA from 1st March 2007 to 31st May 2013.
Assist the Administrator of the College & Dental Hospital in Administrative activities.
Managing staff Attendance, Leave and Salary calculation both in manual and systematic mode.
Monitoring attendance of the students and preparing progress reports.
Carrying out the duties as authorized representative of the Institution for University, other Legal and Government related matters.
Recruitment and Salary negotiation of all teaching and non-teaching staff.
Maintaining the general filing system and filing all correspondence (In and Out).
Coordinating the meetings and conferences.
Maintaining an adequate inventory of office supplies.
Responding to public queries.
Perform other related duties as per the requirement of management.