Committed and motivated Medical Insurance Coordinator in US Healthcare RCM with exceptional customer service and decision-making skills. Strong work ethic, professional demeanour and great initiative.
Hi, I’m
MUZAMMIL SHAREEF G A
Dubai,UAE
Summary
Overview
6
years of professional experience
2
years of post-secondary education
Work history
Sys information Healthcare India Pvt Ltd (RCM)Mysore, India
Medical Insurance Coordinator (Analyst)
01.2019 - 04.2022
Job overview
- Submitted Health insurance claims and regular f/u on denial claims, charge posting, rejected claims, patient statements in end to end RCM process.
- Coordinate the activities of the insurance team, monitoring and managing the approvals and submission of information between various role players to ensure eligibility and approvals are confirmed.
- Process claims using ICD 10 codes and correct modifiers.
- Created monthly reports for records, closed terminated records and completed chart audits
- Review and correct medical invoices.
- Handle eligibility verification, denial resolution and EOB reconciliation.
- Respond to Patient and Attorney inquiries by phone and email
- Analyzing the denials with all supporting documents including Medical Records and worked towards resolution.
Svast Healthcare Technologies (US HealthcareRCM)Mysore, India
Medical Insurance Coordinator (Analyst)
08.2022 - 01.2023
Job overview
- Recommended process improvements to continually identify and analyze and fix constraints and challenges.
- Managed allocated caseload of complex and high-value claims
- Kept clients well-informed of claim updates and case progress
- Managed the team and started to gain complete knowledge of working in End to End RCM.
- worked on practice management systems (Centricity, Athenahealth and All scripts billing software)
Reliance Retail LimitedMysore, India
Customer Service Representative
03.2017 - 09.2018
Job overview
Education
Crescent Secondary SchoolKANNUR, INDIA
Certificate of Higher Education from Central Board Of Secondary Education
04.2014 - 03.2015
University overview
Kendriya Vidyalaya
Diploma of Higher Education from National Institute of Open Schooling
04.2020 - 03.2021
University overview
Skills
- Schedule management
- Insurance processing
- Excellent ability to adapt in difficult situations
- Quality improvement competency
- Analytical skills
- Protecting information
- Training and development
- Team Player
- Resolving errors
- MS Office
- Claim Investigation
- Data Analysis
HOBBIES
HOBBIES
Cricket, Reading books, Movies.
Languages
English
Fluent
Hindi
Fluent
Tamil
Fluent
Urdu
Fluent
Malayalam
Fluent
Additional Information
Additional Information
Employee of the month (Star Award and Gem Award)
Six Sigma
Timeline
Medical Insurance Coordinator (Analyst)
Svast Healthcare Technologies (US HealthcareRCM)
08.2022 - 01.2023
Kendriya Vidyalaya
Diploma of Higher Education from National Institute of Open Schooling
04.2020 - 03.2021
Medical Insurance Coordinator (Analyst)
Sys information Healthcare India Pvt Ltd (RCM)
01.2019 - 04.2022
Customer Service Representative
Reliance Retail Limited
03.2017 - 09.2018
Crescent Secondary School
Certificate of Higher Education from Central Board Of Secondary Education
04.2014 - 03.2015
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