FEROZKHAN FAROOK
Dubai
Summary
A result-oriented professional over 10 years of experience in Healthcare Administration (Registration, Billing, RCM), Supply Chain Management entailing Procurement, Logistics, Order Processing, Coordination and Client Servicing. Adept at Approvals, Billing and RCM related queries and issues. Well versed in Medical Coding/DRG. Expertise in Finance, procurement activities involving planning, scheduling and execution. Exposure in handling operations; ensuring effective demand & supply planning and management to accomplish overall corporate objectives. Exhibit excellence in managing Financial activities (Daily posting of GL entries, Petty cash, external purchase's etc). Resourceful in coordinating with internal & external providers for running successful business operations. An effective communicator with good relationship building & interpersonal skills.
Overview
12
12
years of professional experience
Work History
Insurance Administrator
Mediclinic Welcare Hospital
02.2020 - Current
- Responsible for OP, Elective approvals (Day care/DRG/Short stay)
- Assisting IP team for insurance approvals
- Coordinating with Billing/RCM and medical team for proper documentation whenever needed
- Highlighting financial trends and discrepancies with claim/DRG value
- Coordinating with medical coders whenever needed
- Managing and updating a log of elective approvals for monthly KPI's
- Fielded inquiries from team members, patients and external providers (TPA) related to insurance
- Obtaining approvals with proper DRG for IP& Elective claims
- Preparing cost estimate for OP/Short stay procedures
- Coordinating with OT for consumable details (Quotation/Price) for add-on calculation
- Obtaining approvals for high-cost medication
- Reduced back log of OP & Elective request to comply with TAT.
- Maintain confidentiality of patient finances, records, and health statuses.
Patient Administrator
Mediclinic Al Qusais Clinic
04.2017 - 01.2020
- Managed complete patient journey from Registration till claims management
- Reduced claims error ratio before dispatching at clinic level
- Dispatching the claims to CBO on daily basis
- Coordinating with RCM team on daily basis
- Coordinating with various dept for clinic operations
- Appointment scheduling
- Billing Management
- Approvals Management
- Provided valuable daily operational oversight to support leadership objectives
- Daily inter unit reconciliation
- Auditing invoices & Cash register
- Oversees the KPI's of team members on regular basis
- Generating monthly reports of resource utilization
- Participating in Quality & Safety Projects.
- Reduced wait times for patients by managing patient flow and coordinating with TPA's
- Supervised the clinic operations during renovation.
Credit Administrator
Mediclinic Al Qusais
04.2014 - 03.2017
- Dispatching claims to payers
- Revenue Reports generation for Management
- Monthly statistical reports
- Bank Reconciliation.
- Managed complete logistics operations
- Oversaw reporting, documentation and recordkeeping requirements for department.
- Supported customers with invoices, statements and other basic questions.
- Assisted with reconciliations and customer communications.
General Assistant
Mediclinic Al Qusais
04.2012 - 03.2014
- Managing Medical Records dept
- Scanning and uploading reports in to the system
- Sick leave preparation
- Assisting Clinic Manager / admin staffs.
- Enhanced customer satisfaction with timely response to inquiries and resolving issues promptly.
Education
MBA - HR & Marketing
Anna University
Tamil Nadu08.2011
Bachelor of Science - Physics
Jamal Mohammed College
Tamil Nadu05.2009
Skills
- Well versed with TPA portals & e-claim link
- Coverage Verification
- Claim Amount Calculations
- Proficient in [MS Office, EHR, HIS, SAP]
- Denied claims identification
- Prior authorization processing
- Claims Processing
- Medical Terminology
- Billing Software
- Reporting abilities
- Team Management
- Exploring Data Analytical tools
Languages
English, Tamil & Malayalam
Personal Information
- Date of Birth: 10/27/88
- Driving License: UAE/India
- Marital Status: Married
- Visa Status: Employment Visa
Timeline
Insurance Administrator
Mediclinic Welcare Hospital
02.2020 - Current
Patient Administrator
Mediclinic Al Qusais Clinic
04.2017 - 01.2020
Credit Administrator
Mediclinic Al Qusais
04.2014 - 03.2017
General Assistant
Mediclinic Al Qusais
04.2012 - 03.2014
MBA - HR & Marketing
Anna University
Bachelor of Science - Physics
Jamal Mohammed College
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