Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic
Libin Joseph

Libin Joseph

Dubai

Summary

Passionate Case manager with Senior-level experience of nearly 15 years, combined of clinical and insurance. Specialised in case management, auditing, Pre-authorization(IP) claims, and reimbursement. Independent problem-solver focused on customer service and product development. Seeking opportunity to work in an established company.

Overview

18
18
years of professional experience

Work History

Case Manager - Revenue Optimization

Burjeel Holdings
08.2023 - Current
  • Case Management, Revenue enhancement, Bed management, CDI training, DRG Auditing, Case review and Physician training based on insurance perspective.

Case Manager / Sr. Officer

MedNet Global TPA FZ LLC: 1 Year 3 Months
04.2022 - 07.2023

Case Management, Field Audit, FA, DRG negotiation, Audit on HVC, Cost containment.

Insurance Specialist

NASNeuron TPA LLC: 5 Years 7 Months
09.2016 - 03.2022

Handling Pre-authorisation(IP), claims, reimbursement,
SMOs, case management and payer escalation.
Designed and reviewed effective end-to-end authorisation and risk management frameworks.
Analysed and evaluated the efficacy of current risk management cultures, implementing improvements as
required

Medical Approval Officer

Musalla Net TPA LLC: 2 Years
10.2014 - 08.2016

Registered Nurse

Aster, DM Health Care: 2 Years 4 Months
05.2009 - 09.2011
  • Evaluated patient care needs, prioritised treatment and maintained patient flow.
  • Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.

Registered Nurse

Manipal Hospital: 1 Year 7 Months
03.2007 - 09.2008
  • Evaluated patient care needs, prioritised treatment and maintained patient flow.
  • Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.

Registered Nurse

Janatha Hospital: 1 Years 8 Months
08.2005 - 03.2007
  • Evaluated patient care needs, prioritised treatment and maintained patient flow.
  • Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.

Education

MBA - Healthcare And Inusrance

NIBM
01.2021

Post B.sc Nursing - Nursing

Hosmat Collage of Nursing(Bethel Medical Mission)
11.2013

BSc - Diploma In Nursing

East West Collage of Nursing
08.2005

Skills

  • Case Management
  • Auditing
  • Data analysis
  • Health insurance
  • Risk management
  • Client management
  • Insurance frameworks
  • Insurance regulation adept
  • Claims reporting systems
  • Customer Service

Languages

English

Timeline

Case Manager - Revenue Optimization

Burjeel Holdings
08.2023 - Current

Case Manager / Sr. Officer

MedNet Global TPA FZ LLC: 1 Year 3 Months
04.2022 - 07.2023

Insurance Specialist

NASNeuron TPA LLC: 5 Years 7 Months
09.2016 - 03.2022

Medical Approval Officer

Musalla Net TPA LLC: 2 Years
10.2014 - 08.2016

Registered Nurse

Aster, DM Health Care: 2 Years 4 Months
05.2009 - 09.2011

Registered Nurse

Manipal Hospital: 1 Year 7 Months
03.2007 - 09.2008

Registered Nurse

Janatha Hospital: 1 Years 8 Months
08.2005 - 03.2007

MBA - Healthcare And Inusrance

NIBM

Post B.sc Nursing - Nursing

Hosmat Collage of Nursing(Bethel Medical Mission)

BSc - Diploma In Nursing

East West Collage of Nursing
Libin Joseph