Shijin Thomas
Dubai,UAE
Summary
Insurance professional with expertise in compliance, customer service, and revenue cycle management. Proven track record in efficient claims processing and accurate medical billing, leveraging advanced numeracy skills. Proficient in ICD-10 coding and knowledgeable in Medicare and Medicaid, driving process improvements and informed decision-making. Committed to exceptional service delivery through organized account management and effective multitasking.
Overview
19
19
years of professional experience
4
4
years of post-secondary education
Work history
IP/ ER Insurance Coordinator
Emirates Hospital group
Dubai, UAE
06.2015 - 05.2025
- Efficiently managed approval processes for emergency IP and OP insurance cases.
- Advocated for clients' interests through effective communication with insurance companies.
- Reviewed and appealed denied claims to secure necessary payments.
- Processed high-volume workloads under tight deadlines, showcasing exceptional organisational skills.
- Ensured compliance with data protection regulations while updating patient records.
- Coordinated team meetings to enhance operational efficiency and communication.
- Verified patient eligibility for treatments based on individual coverage plans.
- Demonstrated strong problem-solving abilities in dispute resolution between patients and insurers.
Insurance Officer
Al Musalla Medical Centre
Dubai
02.2012 - 05.2015
- Submission, resubmission, billing and overall coordination
Billing Executive
Nirmal Hospital Pvt. Ltd
Surat
04.2009 - 02.2012
Accountant
Sardar Vallabhbhai National Institute of Technology
Surat
01.2011 - 12.2011
Office Executive
B.J.N telecom
Surat
06.2006 - 03.2010
Education
Post Graduate in Business Administration - Finance Management
Symbiosis
01.2011 - 12.2011
Bachelor of Commerce - Management Accounting and Financial Management
Veer Narmad South Gujarat University
01.2009 - 12.2009
H.S.C - undefined
Gujarat Board
01.2006 - 12.2006
S.S.C - undefined
Gujarat Board
01.2004 - 12.2004
Skills
- Ethical integrity
- Insurance regulations compliance
- insurance consultation
- Customer Service
- Multitasking
- Account management
- Effective decision making
- Customer service skills
- Medical billing and coding
- Claim assessment
- Process efficiency
- Multi-tasking
- Organised and efficient
- Advanced numeracy
- Insurance knowledge
- Organised
- ICD-10 coding
- Medicare and Medicaid knowledge
- Revenue cycle management
- Insurance claims processing
Custom
- +971, 554399741
- +91, 9016425156
Languages
English
Fluent
Hindi
Advanced
Gujarati
Advanced
Malayalam
Intermediate
Tamil
Beginner
Marathi
Beginner
Affiliations
- traveller
- cricket
- movie
Personal Information
- Passport Number: J3919410
- Date of birth: 11/04/88
- Nationality: Indian
- Marital status: Married
Timeline
IP/ ER Insurance Coordinator
Emirates Hospital group
06.2015 - 05.2025
Insurance Officer
Al Musalla Medical Centre
02.2012 - 05.2015
Accountant
Sardar Vallabhbhai National Institute of Technology
01.2011 - 12.2011
Post Graduate in Business Administration - Finance Management
Symbiosis
01.2011 - 12.2011
Billing Executive
Nirmal Hospital Pvt. Ltd
04.2009 - 02.2012
Bachelor of Commerce - Management Accounting and Financial Management
Veer Narmad South Gujarat University
01.2009 - 12.2009
Office Executive
B.J.N telecom
06.2006 - 03.2010
H.S.C - undefined
Gujarat Board
01.2006 - 12.2006
S.S.C - undefined
Gujarat Board
01.2004 - 12.2004
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