Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic
PRIYANKA PRAKASH

PRIYANKA PRAKASH

Dubai

Summary

Certified Professional Coder (CPC-AAPC) with over 3 years of experience in medical coding, insurance approvals, claims processing, and revenue cycle management within UAE healthcare facilities. Skilled in ICD-10-CM, CPT, HCPCS coding, DHPO claim submissions, Riyati approvals, and insurance coordination. Certified Professional Coder (CPC-AAPC) manages medical coding, insurance approvals, and claims processing within UAE healthcare facilities. Ensures accuracy in ICD-10-CM, CPT, and HCPCS coding while facilitating revenue cycle management. Coordinates with healthcare professionals to resolve claim-related issues.

Overview

4
4
years of professional experience
1
1
Certification

Work History

Insurance Executive

MEDCARE Royal Specialty Hospital
Dubai
07.2025 - Current
  • Manage inpatient and outpatient insurance approvals for major UAE insurance providers.
  • Submit and monitor claims through DHPO platforms.
  • Review medical records and ensure accurate coding documentation.
  • Coordinate with physicians and healthcare professionals regarding coding and insurance requirements.
  • Evaluated and corrected claim submission errors to ensure accurate monthly OP submissions.
  • Resolve claim-related issues.
  • Respond to patient inquiries related to approvals and claim status.

Insurance Executive

MEDCARE Hospital
Sharjah
07.2023 - 06.2025
  • Processed outpatient approvals and submitted documentation through DHPO and Riyati systems.
  • Coordinated with insurance providers to ensure timely authorization of treatments and procedures.
  • Addressed insurance-related queries from healthcare providers and patients.
  • Assisted in resolving claim denials and claim processing issues.
  • Maintained accurate documentation in compliance with insurance guidelines.

Medical Coder

One Point Health Solutions
11.2022 - 06.2023
  • Assigned accurate ICD-10-CM diagnosis codes.
  • Ensured compliance with coding regulations and reporting standards.
  • Maintained coding accuracy and documentation integrity.

Office Administrator

Fortune Oilfield
Dubai
02.2022 - 09.2022
  • Managed administrative operations and documentation.
  • Prepared sales reports and maintained records.
  • Coordinated customer orders and follow-up activities.

Education

Bachelor of Technology - Computer Science

Nehru College of Engineering
Calicut
01.2010

Skills

  • Medical Coding (ICD-10-CM, CPT, HCPCS)
  • Insurance Approvals (IP & OP)
  • DHPO Claims Submission
  • Riyati System
  • Claims Processing
  • Prior Authorization
  • Medical Terminology
  • Insurance Verification
  • Denial Management
  • EMR Documentation
  • Microsoft Office
  • Patient interaction
  • Negotiation skills
  • Problem solving
  • Trust building
  • Team collaboration
  • Communication skills

Certification

Certified Professional Coder (CPC), AAPC, 01937315, 2022-01-01

Languages

English
Malayalam
Hindi

Timeline

Insurance Executive

MEDCARE Royal Specialty Hospital
07.2025 - Current

Insurance Executive

MEDCARE Hospital
07.2023 - 06.2025

Medical Coder

One Point Health Solutions
11.2022 - 06.2023

Office Administrator

Fortune Oilfield
02.2022 - 09.2022

Bachelor of Technology - Computer Science

Nehru College of Engineering
PRIYANKA PRAKASH