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)