Admin Cum Document Controller

CARRIER SUMMERY
Smile Factory Medical Center LLC, Abu Dhabi
March 2018 –June2019
Accounts Assistant.
JOB PROFILE
 Documents financial transactions by entering account information.
 Assist with reviewing of expenses, payroll records etc.
 Management of Petty cash transactions.
 Controlling Credit and ensuring debtors pay on time.
 Maintenance, storage and security of financial and accounting documents ensure proper filing and security.
 Posting customer checks, vendor payments.
 Processing billing adjustments and refunds.
 Preparing and approving POs
National Health Insurance Company - Daman
April 2013 –January 2018
Administrative /Document Control Executive – Providers Relation Department
 To deal with Providers requests, queries, and complaints frequently requiring analysis of situations to determine best use of resources.
 Frequent communication with various Departments such as Finance, Claims, Authorization, and Investigation unit in order to update and solve the provider and customer issue.
 Upload the Providers’ profile and contract in the Mednext which include all the Modalities needed for accurate Claims Processing, Creation of Providers Directories and the Provider Report.
 Review the new empanelment request thru the relevant portal and verify the required documents are met in their application.
 Receive and screen incoming calls and visitors and determine which are priority matters and alert the Director accordingly. Make referrals to staff or providerequested information.
 Set up a well-defined physical documentation and e-archiving procedure with secured and effective traceability method.
 Review and proofread documents for consistency of document format to match system requirements.
 Assist in Internal Audit queries and provide relevant proof/information.
 Monitor and review the progress of all activities related to the documents control.
 Perform Quality Management Activities to ensure Compliance and to verify completeness, Accuracy and safety of the Documents.
 Manage Quality control of Documentation to ensure compliance and to verify completeness, accuracy and safety of the documents.
National Health Insurance Company-Daman
April 2010 –March 2013
Receiving Unit Agent – Claims Receiving Unit
 To deal with Providers requests, queries, and complaints frequently requiring analysis of situations to determine best use of resources.
 Validate and upload e-Claim batches.
 Register/Encode the details of the member including invoice amounts in the Documentum and providing acknowledgment.

 Claims reporting to finance and resolve technical issues in coordination with other departments.
 Perform and monitor quality check, prepare paper claim batches and distribute to processing teams.
 Coordinate collection of reported claims, filing, storage, handling the retrieval requests from various departments and coordinate with filing area and external storage provider.
 Ensure entry of correct drug codes/descriptions stated on the claims, according to accepted medical coding rules and medical guidelines.
 Process Claim form adjudicates in relation of diagnosis and Deductibles
CARRIER SUMMERY
1. BATCHELOR’S DEGREE IN COMMERCE (BCOM)
Singhania University - Rajasthan
2. DIPLOMA IN PRACTICAL ACCOUNTING ANDCOMPUTERISED ACCOUNTING Tally ERP 9[2003-2004]
Sree Sankaracharya Educational Society
3. HIGHER SECONDARY BOARD OF PUBLICEXAMINATION
(SCIENCE BATCH) [2003]
Government Town Higher Secondary School (Kerala State)