EMPLOYMENT RECORD :

Company: Address: Period Position

Quantmed / Globemed Gulf FZ LLC

5th floor Al Baker Building Dubai Healthcare City, Dubai October 2015 – March 10, 2020

PSD Medical Officer

Senior Billing and Insurance Coordinator

PSD Medical Officer, Senior Billing and Insurance Coordinator

Al Kuwait Hospital Dubai ( Formerly Al Baraha Hospital ) (MOH Project)

·    Coordinating, liaising and networking between Insurance companies may it be local or international insurance companies regarding approvals, eligibility, and deductibles based on members policy.

·    Responsible for filing and tracking insurance claims and informing patients of                          their claims status, process insurance and disability claims in a timely manner

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·    Entertains patient’s queries regarding unpaid balances and their respective insurance card coverage including their eligibility and entitlements.

·    Coordinates directly with hospital staffs and administration with regards to the case of the patient from the time the adherent is admitted up to the discharge of the member.

·    Responsible in gathering the necessary documents in sending claims to the guarantors for payment collection

PSD Medical Claim Officer/ Approval Department Globemed Gulf Insurance Company

Dubai Healthcare City February 19 2012 – October 2015

JOB DESCRIPTION

·    Work in the Medical Call center in shifts to assists the providers / insured members / insurance companies for approvals and queries related to coverage, claims etc and provide excellent customer service related to these functions.

·    Authorization and facilitation of admission and service provision at the network of providers, based on policy conditions and medical necessity.

·    Case management and medical review of claims requiring the intervention of medical professionals.

·    Management, technical and operational support of the organization’s Medical Call Center.

·    Creation and maintenance of close relationship with the network of providers in support of contract compliance, service issues, claims negotiations and reconciliation.

·    Ensuring smooth operations and compliance with standard and deadlines at all times, liaising with optimal service delivery to all stakeholders.

·    Assist the network Manager in the network functions like day to day communications, complaints reporting in respecting region etc.

·    Attending calls from providers, for approvals on admission, investigations, pharmacy and clarifying on coverage of the member with limits if required approval codes.

Dental Assistant / Insurance Coordinator North Carolina Dental Practice

Dubai Healthcare City

August 17, 2010 until September16, 2011

JOB DESCRIPTION

·    Prepares patient for treatment, takes vital signs and set up instruments trays.

·    Cleans and sterilizes instruments, examines orthodontic appliances and pedodontic appliances.

·    Suctions patients mouth and applies fluoride coating to the teeth. ·    Prepare dental clinic for all the procedure.

·    Records medical and dental history of patient.

·    Be capable of making the periapical bitewings, cephalometric and panoramic x-rays.

·    Be capable of mixing and preparing of all dental materials for all the areas.

·    Manages medical, radiographic and appointment records. ·      Maintain cleanliness of the designated areas.

·    Register patients.

·    Handle telephones and messages.

·    Handle insurance for approval and billing.

Data Entry Clerk

Child Early Intervention Medical Center Dubai Health Care City

February 1, 2010 – July 31, 2010

Nurse Supervisor / Insurance Coordinator Medicure Center

Al Mankhool Road, Bur Dubai November 9, 2008 – January 26, 2010

Receptionist cum Nurse Medicure Center

Al Mankhool Road, Bur Dubai November 2005 – November 8, 2008

School Nurse

French Nursery School Jumeirah I Dubai UAE

May 1, 2005 to October 30, 2005

Market Researcher

Multi Property Development Dubai Trade center 601 Dubai, UAE

November 2004 to April 30, 2005

Staff Nurse

AL MIDHNAB GENERAL HOSPITAL Midhnab, Al Gassim

K. S. A

June 20, 2004 – October 30, 2004