Shantosh Ghimire, Medical Assistant

Shantosh Ghimire

Medical Assistant

MedNet

Location
United Arab Emirates - Dubai
Education
Bachelor's degree, English
Experience
17 years, 5 Months

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Work Experience

Total years of experience :17 years, 5 Months

Medical Assistant at MedNet
  • United Arab Emirates - Dubai
  • My current job since December 2014

Respond calls and queries of members, medical providers and insurance companies
Audit Calls & provide administrative support to the team.
Oversee the overall performance of Document Management Software
Log Pre-Approval requests into DMS received from medical providers
Send notifications/documentation to members/members’ doctors/medical providers as needed.
Be flexible and willing to take on other responsibilities as deemed necessary by management

Claims Assistant (Document Controlling) at NEXtCARE
  • United Arab Emirates - Dubai
  • March 2011 to November 2014

Ensure completeness of claims received against a pre-defined criterion and coordinate with the medical providers for the missing and their clarification
Batch and register claims to ensure that daily clear to zero targets are achieved
Eliminate errors, mistakes or misstatements within the claims and make sure the data is clearly and concisely stated
Ensuring all claims are as up to date within paper and electronic filing systems
Maintain records for all the claims sent and received by the department for future references

Assistant Admin Officer at Devdaha English Boarding High School, Butwal
  • Nepal
  • March 2009 to January 2011

Ensure the overall admin tasks are running in proper and effective manner
Marking work, giving appropriate feedback and maintaining records of students’ progress and development
Schedule all the school’s extra-curricular activities, programs and exams

Data Analyst at Butwal Hospital Pvt. Ltd.
  • Nepal
  • October 2006 to December 2008

Manage all day to day data extraction, tabulation, statistical analysis
Prepare basic tables and charts to be used in the reports / presentations
Process raw data, perform statistical analysis to create tables, databases and excel reports
Provide basic training on data analysis, data management and related topics to the staff

Education

Bachelor's degree, English
  • at Tribhuvan University, Nepal
  • October 2009
Diploma, Economics, English Literature
  • at Butwal Multiple Compus under TU
  • August 2005
High school or equivalent, Economics, Accoutancy
  • at Saraswati Ma. Vi. Arghakhanchi, Sitapur
  • June 2003

Specialties & Skills

Computer Application
Data Entry
Data Analysis
Document Control
Customer Service
Adaptability
Multitasking
Patience
Attentiveness
Flexibility

Languages

English
Expert
Hindi
Intermediate

Training and Certifications

Customer Service Development (Training)
Training Institute:
Dale Cornegie
Date Attended:
August 2015
Computer Hardware and Networking- Intermediate (Training)
Training Institute:
Oxford Computer institute, Butwal Nepal
Diploma in computer applications (Training)
Training Institute:
Skill Development Institute,Butwal, Nepal
Cross Training- Call Center & Production (Training)
Training Institute:
NEXtCARE, Dubai, United Arab Emirates
Customer Services (Training)
Training Institute:
Soft Skills Training Pvt. Ltd.

Hobbies

  • Information Technology, Reading, Music