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A well-qualified doctor with and experience in dental and community practice in India and Dubai with hospitals, clinics and NGO s of well reputation in their respective field.
Carrying total work experience of 24 years with payer ALICO –AIG ( Metlife now ) and providers .
As practicing doctor and insurance sector ,in which I have 19 + years in UAE ,17 yrs in insurance sector , last 11 + yrs as manager , supervisor , HOD in Insurance and RCM , in corporate hospitals group , individual hospital and RCM billing management in Dubai and Abu Dhabi, AL Ain regions .
8 + yrs as manager in provider network relationship , contracts and network, ALICO AIG, Wellness one day surgery center ,Accumed and Emirates international hospital -HOD Complete insurance companies /TPAs network factors negotiation and establishing contracts – achieved 23 insurance companies and TPAs
I have vast experience as :Network manager , Denial analyst ,in reimbursement , reconciliation ,Insurance and claims operations, contracts, pricing , revenue cycle management ,clinical documentation improvement CDI ,quality auditing, training physicians , nurses, front office staffs and all RCM stakeholders .
I am well versed in all the work procedures of insurance companies and hospital procedures , lead for Jawda Tasneef audits , according to DOH and DHA guidelines and International accreditation standards .
I have a good rapport with all the payers -insurance companies for the past 17 + yrs . I have done my coding course and have vast experience on ICD 10 ; Cpt4 , E & M and DRG codes, Dental USCLS CODES .
I have done a hospital administration course from the UK , advance excel course , excellent in PPTs presentations of finance and business strategy ,contracts and network with payers , pricing and price revision as per SPC Quality assurance in health care US and UAE - CPHQ course .
Trained in sigma six green belt course UK accreditation –project management .
I have handled a team of 5 to 50 staff in Insurance and RCM department Comprising of pre-approval staff , network co ordinators , MIS analyst , coders , billers , auditors and insurance coordinator at the corporate levels of the largest private hospitals in Abu Dhabi , Al Ain and Dubai and RCM companies consisting of clinics and hospitals from Ajman , Sharjah , Dubai , Al Ain and Abu Dhabi .
Dr. Savitha Rajakumar 971553697336 ; 97150856132
· Preparing flow chart , work flow according to the depts. Concerned in the hospital as per DHA
· Handling complete insurance and operation in the hospital , concerning the finance and insurance
· Reporting to the MD directly
· Presentation in the management meetings
Payer relationship manager - pricing and contracting and Insurance
Handling 28 hospitals and medical centers in UAE
Dubai , Abu Dhabi , Sharjah and Ajman for networks
· Factors and discounts negotiations
· Pricing and matrix preparation according to DHA and DOH guidelines
· Revision of prices on annual bases
· Communicating to all payers and TPAs as per the requirement of clients (hospitals and medical centers)
· Co ordinating with resubmission team and reconciliation team for claims maximum benefits.
Analysis and feedback to the clients and the management accordingly
· Working as an Insurance consultant & Networking with American Life Insurance company (ALICO) in Dubai, UAE since Apr,2006 till May 2008 having good experience in Networking.
Dealing with Individual and Group medical insurances, Accident coverage.- co-ordination and claims.
· Served in the field of network dept, ALICO.
· Training staff in Medical products, telemarketing skills, Networking skills
MS Office-Word,Excel,powerpoint,outlook, HIM softwares-concept
Light music
Flower and floral arrangement
Vegetable-carving
Indian classical and folk dance
Painting