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jesni samuel medical insurance officer

United Arab Emirates

JESNI ROBIN
Present Location : Sharjah, UAE
Contact No : +971544924104
E- MAIL Address : [email protected]

OBJECTIVE
To practice my profession in the highest standard through fulfilling the mission and vision statement of hospitality and client care to the best of my ability and knowledge with vigor and commitment.

PERSONAL DATA
Birth Date : 09/10/1988
Birth Place : Mumbai (Dombivli)
Gender : Female
Status : Married
Citizenship : India
Religion : Christian
Occupation : BSc Staff Nurse
Language Known : English ,Hindi ,Marathi ,Malayalam

CURRICULAR ATTAINMENT
SECONDARY LEVEL
2004 : Passed SSC
HOLY FAMILY CONVENT HIGH SCHOOL,
MUMBAI.
MAHARASHTRA STATE BOARD, NASHIK.
HIGHER SECONDARY
2006 : Passed HSC
R.K.TALERAJA COLLEGE, MUMBAI.
MAHARASHTRA STATE BOARD, NASHIK.
OCCUPATIONAL EDUCATION
2007 : Passed Maharashtra State Certificate in
Information Technology.
Maharashtra State Board of Technical
Education, Mumbai.
2010 : Passed BSc Nursing
M.K.S.S.S BTINE COLLEGE OF
NURSING, PUNE.
MAHARASHTRA UNIVERSITY OF
HEALTH SCIENCE, NASHIK.
Experience
: 3 years as Medical insurance coordinator in Healers Medical Center in Sharjah.
:1 year as Medical Insurance coordinator in Lifecare Medical Center Sharjah
:Presently working as Medical Insurance Executive in
Thumbay Physical Therapy and Rehabilitation Hospital Ajman
Duties And Responsibilities
· Confirm and input insurance or non – insurance patient , demographic information and registration in the hospital Information System
· Answering Multiline phone system
· Greet patients and families in a professional manner
· Triage patient telephone calls to clinical staff , obtain necessary information for the return call , initiate emergency procedures if necessary
· Advocate for the patient / family by locating appropriate staff to address concerns
· Exhibit maturity, reliability, composure and stability under pressure in order to handle on the job challenges
· Communicates and enforces billing and payment policies of the clinic
· Collect payments
· Coordinating , liaising and networking between insurance companies regarding eligibility, payments , approvals , reconciliation and other requirements
· Responsible for filing and tracking insurance claims and informing patients
of their claim status
· Process insurance and disability claims in a timely manner
· Prepares insurance forms and associated correspondences
· Entertains patients queries regarding unpaid balances
· Liaise with patients regarding their eligibility and entitlements
· Maintains strict confidentiality related to medical records and other data
· Coordinating the submission , resubmission and remittances of the monthly claims
· Empanelment of insurances
· Usage of Eclaim Link(DHPO Portal)for the insurances

WORKSHOPS ATTENDED : PRINCIPLES OF PALLIATIVE CARE,
GENETICS FOR NURSES,
MIDWIFERY SKILL WORKSHOP,
NURSES GUIDE TO DIABETES CARE.
EXTRA CURRICULAR ACTIVITIES
Representative in YAMAHA ROXX
EXPRESS VERVE 2007,
WINNER in MAHARASHTRA
UNIVERSITY LEVEL COMPETITION
2010,
Other interests in basketball, singing,
Debating, elocution.
Activities in the NATIONAL SERVICE
SCHEME CADET
DECLARATION
I hereby certify that the above information is true and correct to the extent of my knowledge and hereby promise to extend my level best performance and team spirit to uphold the esteem of the institution
Yours faithfully,
JESNI ROBIN