Summary
Overview
Work history
Education
Skills
Languages
REFERENCE
DECLARATION
Personal Information
Timeline
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Eldho Mathew

Eldho Mathew

Abu Dhabi,UAE

Summary

Adaptable and cooperative professional with a strong ability to work effectively in team settings. Demonstrates enthusiasm and a quick learning aptitude, consistently contributing to collaborative success. Committed to leveraging skills in adaptability and teamwork to achieve career growth and organisational goals.

Overview

8
8
years of professional experience
2021
2021
years of post-secondary education

Work history

Approval officer

NMC Specialty Hospital
Abu Dhabi, UAE
04.2025 - Current
  • Verifying patient insurance eligibility and benefits, obtaining pre-authorizations for medical procedures, and ensuring coverage for services
  • Preparing and submitting insurance claims, monitoring claim status, and resolving claim denials or discrepancies.
  • Ensuring compliance with all relevant insurance policies, regulations, and healthcare standards.
  • Revision of DRG, CPT and implants after procedure.
  • Creating and submitting daily reports to Manager

Authorization Officer

Claims Care Revenue Cycle Management
Abu Dhabi
02.2022 - 02.2025
  • Assign ICD and CPT codes for IP-DRG, Daycare cases.
  • Submission of initial requests and follows up.
  • Revision of DRG, CPT and implants after procedure.
  • Follow up and time to time updates of denied claims.
  • Reviewing and appealing unpaid and denied claims.
  • Creating and submitting daily reports to Manager

Guest service executive

LLH Hospital
Abu Dhabi, uae
01.2017 - 01.2019
  • Handling customer queries and grievances regarding their insurance policies and other complaints.
  • Making Discharge bill for insurance patients as well as cash patients.
  • Daily using of CPT 4 codes and ICD 10 codes in billing and insurance activity.
  • Doing the activities of insurance approvals (Example; Follow up with insurance company, Reverting requested documents to the insurance company, Time to Time update of inpatient insurance & Taking verbal approval for all emergency admissions and planned admissions).
  • Updating knowledge of both Procedures and insurance policies to communicate with insurance companies on behalf of medical personnel and patients.
  • Handling in Medical terminology, Health system supply procedures and Insurance diagnosis codes.
  • Reviewing and appealing unpaid and denied claims.
  • Receiving and disseminating updates from insurance companies.
  • DRG Revision / CPT Revision after final billing with co-ordination with doctors.
  • Preparing estimates for cost of treatment for the patient.
  • Coordinating with doctors for any insurance query.

Education

Certified Professional Coder -

AAPC

Master of Social Work - undefined

BHARATHIAR UNIVERSITY

Skills

  • ADAPTABILITY
  • COOPERATIVE
  • TEAM PLAYER
  • ENTHUSIASTIC
  • QUICK LEARNER

Languages

English
Hindi
Tamil
Malayalam

REFERENCE

Dr. Ashfa Pasha

Manager-RCM

NMC Healthcare

Mob : 0509073633


Mr. Sakeer Kottoor

Assistant Insurance Manager

Claims Care Revenue Cycle Management

Mob : 0559921904

DECLARATION

I hereby declare that the particulars furnished above are true to the best of my knowledge and belief.


Name : Eldho Mathew

Date :

Personal Information

  • Date of birth: 05/30/90
  • Nationality: Indian
  • Marital status: Married



Timeline

Approval officer

NMC Specialty Hospital
04.2025 - Current

Authorization Officer

Claims Care Revenue Cycle Management
02.2022 - 02.2025

Guest service executive

LLH Hospital
01.2017 - 01.2019

Master of Social Work - undefined

BHARATHIAR UNIVERSITY

Certified Professional Coder -

AAPC

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Eldho Mathew