Dr Parvathy C Sreenivas
Dubai,UAE
Summary
Experienced professional with focus on streamlining insurance processes and enhancing client satisfaction. Capable of reducing processing time and improving accuracy through strong organizational skills and attention to detail. Adept at managing policy documentation and liaising between clients and insurers to ensure seamless communication and resolution of issues.
Overview
9
9
years of professional experience
8
8
years of post-secondary education
1
1
Certification
Work history
Insurance Coordinator (Claims and Approvals)
NMC SPECIALTY HOSPITAL
Dubai
08.2023 - Current
- Managed pre-approvals, claims processing, and resubmissions for outpatient and inpatient cases.
- Awarded for highest monetary amount of claims processed within department.
- Proficient in eClaim portal usage for claim submissions and approvals, ensuring accuracy and compliance.
- Liaised with major insurance providers including Daman, Sukoon, NAS, Nextcare, Adnic, Mednet, Metlife, AXA, Dubai Insurance, Aafiya, SAICO, AL MADALLAH, EMIRATES etc.
- Ensured timely approvals and minimized claim rejections by reviewing medical reports and coding accuracy.
- Assisted in audit preparations and compliance checks to meet insurance regulations and hospital policies.
Insurance Coordinator (Claims and Approvals)
PRIME HEALTHCARE
Dubai, UAE
01.2022 - 06.2023
- Processed outpatient and inpatient claims while maintaining 99% accuracy rate in claim submissions.
- Expert in dental and medical coding, DRG, and claim revisions.
- Used e-Claim portal for submitting pre-authorizations and claims, ensuring compliance with insurance policies.
- Handled high volume of over 100 claims daily, managing approvals and rejections efficiently.
- Managed insurance reconciliations, ensuring correct payments and resolving discrepancies with insurers.
- Trained junior staffs in claim processing, e-Claim submissions, and coding best practices.
- Maintained compliance with DHA regulations regarding medical claims and approvals.
Medical coder
XL Healthcare
Bangalore, India
08.2018 - 05.2022
- Established accuracy in medical coding by meticulously reviewing patient records.
- Participated actively in team meetings to discuss complex cases requiring specialized coding knowledge, fostering collaborative problem solving.
- Elevated department productivity 100% through expert use of advanced medical software applications for data entry and retrieval tasks.
- Assigned proper codes to medical procedures for insurance and accounting processing.
- Used correct anatomical and physiological terms to clearly communicate patient conditions.
Medical officer
RM Homoeopathic multi specialty clinic
Kerala, India
11.2016 - 06.2018
- Performed average 20 routine health checks, detected potential health issues early.
- Managed acute medical incidents to ensure optimal patient outcomes.
- Collaborated with specialists for advanced patient care.
- Enhanced clinical efficiency with effective record management.
- Recruited and trained staff for high-quality branch service.
- Participated in public health campaigns to enhance local wellbeing awareness.
- Managed outpatient clinics for efficient service delivery.
- Educated patients on disease prevention and overall wellness initiatives.
Education
Bachelor's degree - Homoeopathy
SKHMC
08.2010 - 10.2016
High School & Higher Secondary Education - Biology, Physics, Chemistry, Mathematics, English
St Joseph's AIGHSS
06.2008 - 03.2010
Skills
- ICD-10
- CPT
- Insurance Policy Knowledge
- Strong Communication Skills
- Proficient in data entry
- Ethical integrity
- Medicare and Medicaid knowledge
- Dental insurance experience
Accomplishments
- Awarded for the highest revenue of claims processed at NMC Specialty Hospital in 2024.
- Successfully handled high-value insurance claims with minimal rejections.
- Trained junior staff in claims processing, coding, and eClaim portal usage.
Certification
- CPC Certification (Certified Professional Coder), AAPC, 72%
- E-Claim Portal - Experienced in claim processing, approvals, and resubmissions
- Medical & Dental Coding - ICD-10, CPT, HCPCS
- Insurance Policy Knowledge - Familiar with UAE healthcare insurance regulations and billing procedures Audit & Compliance - Ensuring insurance claim accuracy and adherence to DHA guidelines Strong Communication
- Skills - Fluent in English, Malayalam, Hindi, and Tamil.
Timeline
Insurance Coordinator (Claims and Approvals)
NMC SPECIALTY HOSPITAL
08.2023 - Current
Insurance Coordinator (Claims and Approvals)
PRIME HEALTHCARE
01.2022 - 06.2023
Medical coder
XL Healthcare
08.2018 - 05.2022
Medical officer
RM Homoeopathic multi specialty clinic
11.2016 - 06.2018
Bachelor's degree - Homoeopathy
SKHMC
08.2010 - 10.2016
High School & Higher Secondary Education - Biology, Physics, Chemistry, Mathematics, English
St Joseph's AIGHSS
06.2008 - 03.2010
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