Adept Worker's Compensation Insurance Coordinator offering expertise in benefits administration, insurance claims and filing processes, as well as in working with claims adjusters, physicians and medical offices to obtain best possible care for injured employees. Prepared to bring 1 and half year background to growing company in medical coder role.
Overview
2
2
years of professional experience
Work history
INSURANCE COORDINATOR
Healthline one day surgery center
Abu Dhabi, United Arab Emirates
01.2022 - Current
Handle many inbound and outbound calls to customers and clients
Idenfy the needs of customers, resolve issues, and
Provide soluons.Keep records of all conversaons in our call center database in a comprehensible way
Page 01 of 02, Hardworking and fully cerfied Medical Coding Specialist has a full understanding of ICD-10-CM and CPT coding procedures
Excellent data entry skills allows for accurate coding of medical informaon and provided care .Has an Degree in
Bs.Zoology, Cerficaon as a Medical Coding, Book paents in for appointments
Enter paents' details onto record systems
Direct paents where to go within the department
Answer phones, somemes direcng calls to other staff through the phone system
Answer queries from paents and other staff
SKILLS
Insurance claims management
Medical terminology
Insurance billing
Insurance claims
Time management MS Office applicaons (Word, Excel & PowerPoint)
Submission of medical claim
ICD-10 coding
Claim validity determination
Teamwork and collaboraon
Healthcare claim coding
Medical recordkeeping
Claim review
CPT code modi ers
Scan for PDF.
Education
CONTACT -
BBA - BUSINESS
Mahatma Gandhi University
CERTIFIED PROFESSIONAL CODER TRAINING (CPC) -
INDUS EDUCATION
INTERNSHIP & EXPERIENCE-INDUS EDUCATION -
BPO
COMPUTER APPLICATION
6 Months Computer Training - undefined
Bachelor - Bussiness administration
Santhigiri college of computer science
2023
Skills
Medicare and Medicaid knowledge
ICD-10 coding
Multi-tasking
Worker's compensation insurance
Medical billing and coding
Insurance claims and denial processes
Organised and efficient
Business development
Business management
Additional Information
1 years of experience.
Visit Visa
(Valid unll: 06 Oct.23)
Anatomy
Medical Termanology
ICD-10 CM Guidlines
CPT & HCPCS Coding Roules
E-Claim - Riaya - Clinic So
Maintained strict confidenality with adherence to HIPAA guidelines
and regulaons.
Invesgated rejected and denied claims, correcng applicable coding.
Submied clean claims to insurance companies electronically to
secure payments.
Translated paent informaon into alphanumeric and numeric
medical codes
Reviewed and abstracted relevant clinical data from electronic
medical records to select appropriate code for procedures.
Reviewed outpaent records and interpreted documentaon to
idenfy diagnoses and procedures.
Created and maintained up-to-date paent medical records to
enable tracking history and preserve consistent informaon.
Verified final claim submissions by comparing account charges
with documentaon.
Verified accuracy of paent informaon in medical records.
Timeline
INSURANCE COORDINATOR
Healthline one day surgery center
01.2022 - Current
CONTACT -
BBA - BUSINESS
Mahatma Gandhi University
CERTIFIED PROFESSIONAL CODER TRAINING (CPC) -
INDUS EDUCATION
INTERNSHIP & EXPERIENCE-INDUS EDUCATION -
BPO
COMPUTER APPLICATION
6 Months Computer Training - undefined
Director of Surgical Services Business at Endeavor Health, Northwest Community Healthcare Main Hospital, Northwest Community Day Surgery Center and Northwest Community Foot and Ankle CenterDirector of Surgical Services Business at Endeavor Health, Northwest Community Healthcare Main Hospital, Northwest Community Day Surgery Center and Northwest Community Foot and Ankle Center