NoushadAli Vembayil
Insurance Specialist/ Operation/HR executive
DUBAI
Summary
Reliable employee seeking Medical Insurance Officer. Offering excellent communication and good judgment.
Overview
13
13
years of professional experience
3
3
years of post-secondary education
Work History
Insurance Team Leader cum HR In Charge
Dr Ismail Healthcare Group, Emirates, Healthcare
Dubai
02.2010 - Current
- Coordinating with insurance providers for due payments collections, new network tariff deals discussion, maintaining a healthy relationship with them for taking forward the deals for gatekeeping and new networks on-board introduced by them
- Training to the new joiners and insurance coordinators
- Preparing monthly reports
- Preparing strategies to ensure that there is less rejection, and accuracy in the submission process
- Preparing reports of target customers of defferent insurance and TPA’s stepping into the facility
- Ensuring the smooth transitioning of submission and resubmission process with different insurance TPA and providers
- Preparing reports for rejections from insurance and TPAs
Clinic Manager
MEDILIFE POLYCLINIC
Dubai
11.2019 - 05.2020
- Ensure smooth functioning of the procedures
- Ensure discipline, time and duty management of the entire staff members, coordination between departments and staff members
- Improve the daily patient inflow and cash collection
- Managing all official communications pertaining to the center
- Coordinating internal meetings and events.
Medical Auditor
ENET TPA
Dubai
06.2019 - 10.2019
- viewing medical records for accuracy and completeness
- Reviewing insurance policy provisions, coverage limits, and exclusions to determine if coverage exists for specific claims
- Conducting investigations to determine the validity of claims
- Reviewing insurance claims, identifying errors, and making recommendations for changes
- Identifying the Misuse of codes on a claim, prevent Charging excessively for services or supplies
- Identifying Billing for services that were not medically necessary.
Education
BCom - Medical Coder
PGDCA - Computer
No Degree - B Com
Calicut University
Trissur 06.1994 - 04.1997
Skills
- LANGUAGES
- English-Full Professional Proficiency
- Hindi -Professional Working Proficiency
- Malyalam -Native or Bilingual Proficiency
- Tamil & Urdu
Timeline
Clinic Manager
MEDILIFE POLYCLINIC
11.2019 - 05.2020
Medical Auditor
ENET TPA
06.2019 - 10.2019
Insurance Team Leader cum HR In Charge
Dr Ismail Healthcare Group, Emirates, Healthcare
02.2010 - Current
No Degree - B Com
Calicut University
06.1994 - 04.1997