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
2023.08 - 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
2022.04 - 2023.07

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

Insurance Specialist

NASNeuron TPA LLC: 5 Years 7 Months
2016.09 - 2022.03

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
2014.10 - 2016.08

Registered Nurse

Aster, DM Health Care: 2 Years 4 Months
2009.05 - 2011.09
  • 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
2007.03 - 2008.09
  • 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
2005.08 - 2007.03
  • 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
2023.08 - Current

Case Manager / Sr. Officer

MedNet Global TPA FZ LLC: 1 Year 3 Months
2022.04 - 2023.07

Insurance Specialist

NASNeuron TPA LLC: 5 Years 7 Months
2016.09 - 2022.03

Medical Approval Officer

Musalla Net TPA LLC: 2 Years
2014.10 - 2016.08

Registered Nurse

Aster, DM Health Care: 2 Years 4 Months
2009.05 - 2011.09

Registered Nurse

Manipal Hospital: 1 Year 7 Months
2007.03 - 2008.09

Registered Nurse

Janatha Hospital: 1 Years 8 Months
2005.08 - 2007.03

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