Dr.MUNEERA K. M
Abu Dhabi
Summary
Healthcare professional & Insurance Auditor with a strong focus on Revenue Cycle Management and Clinical Compliance. I bridge the gap between dental excellence and insurance precision, ensuring every procedure is accurately coded, authorized, and reimbursed.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Dental Assistant & Insurance Auditor
Liberty Dental Clinic
Abu Dhabi and Dubai
01.2022 - Current
- Authorisation Review: Prepared and submitted detailed clinical justifications, including X-rays, intra-oral photos, and other documentation required for authorisation review.
- Shafafiya Reporting: Provided support for Shafafiya submissions in compliance with JAWDA, DOH documentation requirements.
- Malaffi Integration: Managed patient data entry and clinical history uploads into the Malaffi system, ensuring compliance with Abu Dhabi’s unified health record requirements.
- Reporting:Generated periodic Shafafiya submission reports and presented data summaries to senior management and the CEO.
- Reimbursement Management: Prepared detailed medical reports and stamped invoices to facilitate seamless 'self-pay' insurance reimbursement for patients.
- Dental documentation: Ensured consistency between clinical findings, diagnosis, and recorded treatments within EMR/CMS systems.
- Claims Auditing: Reviewed dental claims for ICD-10 and CPT coding accuracy to minimise payment rejections and delays.
- Denial Management: Researched rejected claims and managed the appeals process to recover clinic revenue.
- Clinical Support: Assisted dentists in diverse procedures, including endodontics, oral surgery, and prosthodontics.
Dental Assistant & Insurance Coordinator
Drs.Nicolas & Asp Centers
12.2021 - 01.2022
- Insurance approval submission, follow-up, and communicating between beneficiaries and network providers.
- Dental claim submission, processing, and resubmission.
- Querying physician for errors file.
- Evaluating the patient's file for dental coding.
- Assisted the dentist during a variety of treatment procedures.
GP Dentist
Mariyam Multispecialty Dental Care
Kerala
01.2021 - 03.2021
- Experience in diagnosing dental problems and conditions.
- Proficiency in reading and interpretation of dental x-rays.
- Expertise in prescribing analgesics and antibiotics.
- Proficient in effectively anesthetizing patients prior to dental procedures.
- Efficient in performing extractions, alveoloplasty.
Education
Bachelor of Dental Surgery -
PSM Dental College
Thrissur, India01.2019
12th grade -
Indian Islahi Islamic School
Abu Dhabi, UAE01.2013
Skills
- Pre-Authorizations
- Shafafiya
- Malaffi
- Submission
- Resubmission
- Coding Accuracy
- Internal Auditing
- Documentation
- Reimbursement Support
Certification
- Certification in CPHQ training
- Nitrous Oxide Certification
- BLS Certification
- Infection Control Certification
References
Upon Request
Languages
English
Proficient
C2
Hindi
Upper Intermediate
B2
Arabic
Elementary
A2
Malayalam
Proficient
C2
Timeline
Dental Assistant & Insurance Auditor
Liberty Dental Clinic
01.2022 - Current
Dental Assistant & Insurance Coordinator
Drs.Nicolas & Asp Centers
12.2021 - 01.2022
GP Dentist
Mariyam Multispecialty Dental Care
01.2021 - 03.2021
Bachelor of Dental Surgery -
PSM Dental College
12th grade -
Indian Islahi Islamic School