Mumthaz Mukthar Ali
Dubai
Summary
Healthcare and insurance professional with experience as an approval officer. Delivered high accuracy in medical coding and insurance claims investigations through staff training and team leadership. Strengthened compliance and operational processes to improve service quality.
Overview
5
5
Languages
1
1
Certification
2027
2027
years of professional experience
Work History
IP Approval Officer
Emirates Hospital Jumeirah
04.2026 - Current
- Coordinated with insurance companies to process claims efficiently, minimising customer wait times.
- Processed insurance claims efficiently, adhering to company policies and legal requirements.
- Coordinated with insurance companies concerning claims and repair authorisations, streamlining administrative processes.
- Coordinated with insurance companies to clarify coding queries, expediting the claims process.
- Coordinated outpatient billing procedures, including insurance verification and payment collection.
- Prepared and submitted insurance claims, liaising with insurers to facilitate prompt payment.
IP Approval officer
Al Tadawi Specialty Hospital
Dubai
04.2022 - Current
- Obtained approvals from insurance companies for requested services, ensuring compliance with policy requirements.
- Evaluated medical necessity for requested services based on provided data and accurately coded service descriptions on prior authorization requests in accordance with medical coding standards and guidelines.
Pre- Authorisation Supervisor
Thumbay Technologies
BENGALURU
04.2021 - 03.2022
- Training the new staff for approvals and giving orientation about systems and policies.
- Facilitated team meetings to discuss strategies for improvement.
- Preparing daily and monthly team performance chart.
- Supported the team with op approvals and call centre tasks.
Senior Pre-authorization Officer
Aafiya Medical Billing Services
04.2016 - 03.2021
- Coordinating or conducting investigations on insurance claims, and giving approvals for In-patient Maternity cases & Outpatient procedures, investigations, radiology and pharmacy and prior approval required cards.
- Communicating with pharmacy benefit manager to determine patient coverage for the requested medication and overriding the medicines as per the table of benefits.
- Coordination with providers and customers though calls and resolving the medical related queries.
- Worked as floor manager in the absence of supervisors and managers & managing Preparing duty rosters for the team.
APPROVAL OFFICER
Zulekha Hospital
SHARJAH
05.2014 - 05.2016
- Processed insurance approvals for inpatient and outpatient services.
- Coordinated with insurance companies and clinical teams for timely authorizations.
- Ensured documentation compliance with payer requirements
Approval officer and Call centre agent
Next Care Insurance
Dubai
- Coordinating or conducting investigation on insurance claims, and giving approvals for maternity, dental, optical, pharmacy and lab investigations and prior approval required card.
- Coordinating with Customers- Management team, Handling telephones and updating to customers.
- Communicates with pharmacy benefit managers to determine patient coverage for the requested medication, and to help navigate through complex reimbursement issues.
Education
Medical Laboratory Technology
Karnataka Para Medical Board
Karnataka, IndiaPre-University Collage -
Karnataka Pr-University Board
Karnataka, IndiaGrade X -
Karnataka Board
Karnataka, IndiaSkills
- Time Management
- Communication
- Responsibility
- Team leadership
- Administrative skills
- Organizational Skills
- Customer relationship management
- Medical coding
- Insurance coordination
- Prior authorisation
- Employee training
- Performance analysis
- Process optimisation
- Client support
- Microsoft Office proficiency
- Claims processing
- Customer service
Certification
- Certified Professional coder from AAPC.
- Award taken of Certification & appreciation for Best Employee in Aafiya Medical Services.
- Best performer of the month -2018 in Aafiya Medical Service.
- Certification received for code of conduct from Next care Health
LANGUAGES
English
Hindi
Kannada
Malayalam
Telugu
REFERENCES
Available on Request
Timeline
IP Approval Officer
Emirates Hospital Jumeirah
04.2026 - Current
IP Approval officer
Al Tadawi Specialty Hospital
04.2022 - Current
Pre- Authorisation Supervisor
Thumbay Technologies
04.2021 - 03.2022
Senior Pre-authorization Officer
Aafiya Medical Billing Services
04.2016 - 03.2021
APPROVAL OFFICER
Zulekha Hospital
05.2014 - 05.2016
Approval officer and Call centre agent
Next Care Insurance
Medical Laboratory Technology
Karnataka Para Medical Board
Pre-University Collage -
Karnataka Pr-University Board
Grade X -
Karnataka Board