SAKEELA KALADI
DUBAI,UAE
Summary
Detail-oriented RCM professional with 6+ years of UAE healthcare experience, specializing in claims resubmission, denial management, and reconciliations. Skilled in UAE insurance portals, medical coding, and auditing, with AAPC CPC and CPMA certifications. Proven ability to lead teams, reduce denials, and improve revenue cycle efficiency. Seeking a challenging role to drive financial performance and support organizational growth.
Overview
6
6
years of professional experience
1
1
Certification
Work history
TEAM LEAD-RESUBMISSION AND RECONCILIATION
AL FUTTAIM HEALTH
DUBAI
05.2022 - Current
- Supervise the end-to-end claims resubmission process across all Healthhub facilities, ensuring compliance with DHA guidelines and submission within the 21-day deadline post-Remittance Advice (RA).
- Conduct in-depth rejection trend analysis from all dimensions (payer-specific, coding, documentation, etc.), escalate root causes to relevant departments, and ensure timely corrective action to minimize future rejections.
- Lead the reconciliation process by identifying claims in recon status, compiling detailed summary reports, and recommending corrective measures based on discrepancy findings.
- Coordinate directly with insurance companies to resolve denial queries and secure timely settlement of resubmitted claims.
- Organize and lead regular team meetings to delegate tasks, align on priorities, and ensure strategic allocation of rejected claims.
- Maintain updated documentation and reporting on all resubmission and reconciliation activities to support audit readiness and performance tracking.
INSURANCE CODER
AL FUTTAIM HEALTH
DUBAI
06.2021 - 05.2022
- Reviewed and ensured that all claims are 100% complaint with the DHA legal requirements regarding coding procedures and billing requirements.
- To sequence and assign ICD and CPT codes, for the service rendered and maintain accurate records of claims submitted.
- Provided support and guided doctors, nurses on documentation and obtained missing information for claim submission, resolved coding errors and technical discrepancies in a claim.
- Processing and submission of claims to insurance companies within the stipulated timeline.
INSURANCE COORDINATOR
AXON MEDICA POLYCLINIC
DUBAI
04.2019 - 05.2021
- Coordinated with insurance companies regarding eligibility, preapprovals, tariff, for obtaining information on new policies and their coverage and maintain and update records related to pre-approvals
- Coordinate all insurance activities and within clinic & departments for the efficient processing of patient invoices and coordinate with Doctors, Laboratory, Radiology and pharmacy staff to ensure timely and clean claim submission.
- Supervising and processing claims up to finalization. Insurance E- claim Submission and Generating monthly reports
Education
Bachelor of Science - Biochemistry
University of Madras
Master of Science - Advanced Biochemistry
University of Madras
Skills
- Insurance Rejection & Denial Management
- Excel Reporting & Claims Analysis
- Medical Coding and auditing
- TPA Coordination & Communication
- Leadership and communication skills
- Team supervision
Certification
Certified Professional Coder (CPC) - AAPC, 2018
Certified Professional Medical Auditor (CPMA) - AAPC, 2022
Personal Information
- Passport Number: R0243363
- Date of birth: 06/28/93
- Nationality: Indian
- Marital Status: Married
- Visa Status: Employment visa
Languages
English
Native language
English
Proficient (C2)
Hindi
Proficient (C2)
Arabic
Elementary
German
Beginner
Timeline
TEAM LEAD-RESUBMISSION AND RECONCILIATION
AL FUTTAIM HEALTH
05.2022 - Current
INSURANCE CODER
AL FUTTAIM HEALTH
06.2021 - 05.2022
INSURANCE COORDINATOR
AXON MEDICA POLYCLINIC
04.2019 - 05.2021
Bachelor of Science - Biochemistry
University of Madras
Master of Science - Advanced Biochemistry
University of Madras
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