Pratheesh S V
RCM and Denial Management Specialist
Dubai
Summary
Experienced revenue cycle management supervisor with over 15 years of success in UAE healthcare operations, claims management, and revenue optimization. Proficient in utilizing data analytics tools like Microsoft Power BI to drive informed decision-making and support continuous improvement efforts. Demonstrated proficiency in medical billing, coding standards (ICD-10, CPT, HCPCS), and ensuring compliance with DHA/HAAD regulations.
Overview
19
19
years of professional experience
3
3
Certifications
3
3
Languages
Work History
Claims Denial Supervisor
Dubai Health (DHA)
10.2019 - 05.2025
- Led a team of 15+ analysts to manage denied claims and appeal processes, achieving a 25% reduction in denial rates year-over-year.
- Conducted root cause analysis and implemented corrective action plans to minimize recurring denials.
- Developed and delivered training programs on coding accuracy and compliance.
- Partnered with IT to enhance automated reporting and dashboards using Power BI.
- Ensured alignment with DHA regulatory standards and audit requirements.
Insurance Specialist/Claims Denial Analyst
NTT Data Services
12.2015 - 10.2019
- Roles & Responsibilities shall be provided upon request.
Medical Insurance Coordinator
LIFE Healthcare Group
12.2013 - 12.2015
- Roles & Responsibilities shall be provided upon request.
Team Leader
RevenueMed India (PVT) LTD, Technopark
06.2006 - 12.2013
- Roles & Responsibilities shall be provided upon request.
Education
MBA - Healthcare and operations management
NIBM Global
Bachelor of Arts - Commerce
Kerala University
Skills
Revenue cycle management
Certification
CCS-Certified Coding Specialist
References
Reference available upon request
Timeline
Claims Denial Supervisor
Dubai Health (DHA)
10.2019 - 05.2025
Insurance Specialist/Claims Denial Analyst
NTT Data Services
12.2015 - 10.2019
Medical Insurance Coordinator
LIFE Healthcare Group
12.2013 - 12.2015
Team Leader
RevenueMed India (PVT) LTD, Technopark
06.2006 - 12.2013
Bachelor of Arts - Commerce
Kerala University
MBA - Healthcare and operations management
NIBM Global
Similar Profiles
Ibrahim AlharrimIbrahim Alharrim
Business Analyst & Change Management Administrator at Dubai Health Authority DHABusiness Analyst & Change Management Administrator at Dubai Health Authority DHA
AMAL VIMALAN, CPHQ, CLE, LSSGBAMAL VIMALAN, CPHQ, CLE, LSSGB
Senior Clinical Quality Officer -Corporate at Dubai HealthSenior Clinical Quality Officer -Corporate at Dubai Health
Ayesha AlemadiAyesha Alemadi
Administrative Officer at Dubai HealthAdministrative Officer at Dubai Health
ERICK SAIMON MMBAGAERICK SAIMON MMBAGA
Ramp Operations Team Leader at Dnata, The Emirates GroupRamp Operations Team Leader at Dnata, The Emirates Group
Asma ShaabanAsma Shaaban
Social Media Manager at KcalSocial Media Manager at Kcal