Experience

Emirates European Hospital - المستشفى الإماراتي الأوروبي

• United Arab Emirates
• Hospitals and Health Care
• 1 - 100 Employee

• Medical Insurance Coordinator and Coder

  • Oct 2017 - Present

  • Coordinated and liaised between insurance companies, healthcare providers, and patients to facilitate efficient insurance coordination and claim processing. • Prepared insurance forms and associated correspondences, ensuring accurate and up-to-date information is provided. • Verified insurance information and authorizations to ensure accuracy and avoid expiration issues. • Conducted billing for medical services and followed up on unpaid accounts, actively resolving claim and billing issues. • Performed heavy data entry tasks, including filing, faxing, copying documents, and taking approvals. • Demonstrated sound knowledge of medical terminology and insurance practices. • Interfaced with insurance carriers and other healthcare providers to resolve claim and coverage-related inquiries. • Assisted patients with eligibility and benefit coverage questions, providing clear and concise explanations. • Acquired and applied specific CPT and ICD-10 codes to ensure accurate treatment and billing of detailed procedures. • Handled insurance-related issues and made timely decisions to ensure smooth claim processing. • Addressed patient and front desk staff queries related to insurance cards, providing prompt and helpful assistance. • Conducted final checks for submission of statements of account (SOA) with accurate ICD-10 and CPT codes. • Prepared reconciliation documents for rejected claims, working to resolve issues and resubmit claims promptly. • Coordinated with insurance companies regarding empanelment inclusion and approvals for coverage. • Utilized E-claim DHPO system for online submission of claims, ensuring timely and accurate processing. Show less



RIAZ MEDICAL GROUP INC

• United States
• Medical Practices
• 1 - 100 Employee

• Medical Insurance Coder

  • Oct 2012 - Sep 2017

  • Collaborated with insurance companies to verify coverage, eligibility, and authorization for medical services. • Acted as a liaison between healthcare providers and insurance carriers, effectively communicating and resolving issues to ensure seamless service delivery. • Conducted thorough reviews of insurance forms, correspondence, and claims, ensuring accuracy and compliance with regulations. • Assisted patients and healthcare providers with insurance-related inquiries, explaining coverage details, benefits, and claim processes. • Acquired and applied specific CPT and ICD-10 codes to ensure accurate treatment documentation and billing. • Provided guidance and support to patients regarding insurance eligibility, authorizations, and coverage questions. Show less



Ministry of Health Saudi Arabia

• Saudi Arabia
• Government Administration
• 700 & Above Employee

• Dialysis Nurse

  • May 2008 - May 2012

  • Provide comprehensive nursing care to patients within your assigned unit or department. • Conduct patient assessments, monitor vital signs, and administer medications as prescribed. • Collaborate with the interdisciplinary healthcare team to develop and implement individualized patient care plans. Provide comprehensive nursing care to patients within your assigned unit or department. • Conduct patient assessments, monitor vital signs, and administer medications as prescribed. • Collaborate with the interdisciplinary healthcare team to develop and implement individualized patient care plans. Adhere to all relevant healthcare regulations, standards, and protocols established by the Ministry of Health. • Maintain accurate and up-to-date patient records, including electronic documentation and reporting systems. • Ensure strict confidentiality of patient information and maintain ethical standards in all aspects of nursing practice. Show less