Patient Administrator/Insurance Coordinator
at Mediclinic Welcare Hospital, Dubai
July 2015 - August 2018
Obtaining preauthorization through insurance online portal like Metlife ALICO, Nextcare, Neuron, Nas. Coordinating with Insurance companies for verbal approval. Posting CPT and ICD codes for medical services. Giving relevant informations about packages and health care services. Handling patient related queries and services, assisting them for the overall medical assistance in the facility. Translation of language Verify the insurance card for coverage, network, policy inclusions and exclusions, approval requirement, limit, and re-validation, policy expiry and termination, preparation of break-up of service for prior approval requirement, ensuring the Insurance given information and authorization are provided current and accurate.
Patient Relations Officer / Sr. Billing Officer
at NMC Specialty Hospital, Al-Nahda, Dubai
July 2008 - July 2015
Outpatient and Inpatient billing assistance. Verify the insurance card for coverage, network, policy inclusions and exclusions, approval requirement, limit, re-validation, policy expiry and termination. Preparation of break-up of service for prior approval. Ensure the given insurance information and authorization current and accurate. Entry of lab, radiology and other medical services with CPT code. Entry of admission with ICD code and CPT code. Handle the telephone calls to provide relevant information for queries about the medical services, insurance information, surgeries, OP procedures, admission charges, OT and anesthesia consumable charges etc. Resolve the customer complaints and answer the queries. Working as an Insurance Coordinator Preparation of Admission break –up with the cost estimate of surgery,OT,anesthesia, room rent, doctor and nursing care, pharmacy charges, lab and radiology and other IP services and medications.
at Manonmaniam sundaranar university
2012 - 2014 (2 years)