TABISH KHAN

Management :

• Directed and supervised comprehensive insurance-related activities in hospitals.
• Monitored resource deployment, time management, and quality control for timely execution of approvals, coding, and submissions.
• Conducted monthly training sessions to enhance employees' understanding of insurance policies.
• Cultivated strong relationships with clients to secure repeat business.
• Delegated tasks efficiently to maximise productivity.

Authorizations:

• Ensured timely approval of authorization transactions without disrupting physician treatment plans.
• Resolved real-time authorization issues and justified claims for approvals based on applicable DRG levels.
• Reviewed IP and Daycare approvals for accuracy before departmental sharing.
• Applied regulatory rules and SPC clauses in case of delays or rejections.
• Guided the team with policy-specific coverage information and addressed general exclusions.
• Liaised with insurance companies on disputed approvals.

Submissions & Resubmissions :

• Monitored timely submission/resubmission to insurance companies.
• Analyzed insurance rejections and provided guidance to reduce rejection rates.
• Monitored coding status to assure revenue for rendered services and avoid denials.

CDI & Case Management:

• Guided CDI team to observe physician clinical judgment for medical necessity and supporting documentation.
• Educated internal customers, including physicians, on clinical documentation opportunities and coding/reimbursement issues.
• Coordinated case management to maintain CMI and ARR targets, identifying non-performing departments for accurate documentation training.

• Spearheaded the Revenue Cycle Management (RCM) for Burjeel Holdings, including 16 facilities across the UAE, with a patient base of 4.5M, ensuring employment of best practices and achieving a 98% clean claim rate.
• Implemented a robust RCM strategy, resulting in a 20% reduction in claim denials and a 15% increase in revenue collection.
• Led a team of 30, overseeing the end-to-end RCM processes, including billing, collections, and denial management.
• Collaborated with payers to address and rectify unusual claim rejections, resulting in a 10% improvement in claim acceptance rates.
• Conducted comprehensive audits and analysis of RCM processes, identifying areas for improvement and implementing corrective actions.
• Developed and implemented a comprehensive training program for the RCM team, resulting in a 25% increase in productivity.
• Strategic planning expertise to drive organizational success and revenue growth.

• Led a team of 15, overseeing the reconciliation of high-value rejected claims with UAE payers, ensuring timely resolution and payment.
• Collaborated with the IT team to develop and implement a new reconciliation system, reducing processing time by 40%.
• Conducted root cause analysis of claim rejections, identifying trends and implementing corrective actions to reduce future rejections.
• Developed and implemented a comprehensive rejection management program, resulting in a 20% reduction in claim rejections.
• Trained and mentored team members on reconciliation best practices, contributing to a 30% increase in team productivity.

• Supervised the insurance claims process for Ajman facilities, ensuring compliance with insurance policies and regulations.
• Streamlined the claims submission process, reducing submission time by 20% and increasing claim acceptance rates by 15%.
• Collaborated with insurance companies to resolve claim disputes, resulting in a 10% reduction in claim denials.
• Developed and implemented a training program for the insurance team, resulting in a 25% increase in productivity.
• Conducted regular audits of insurance processes, identifying areas for improvement and implementing corrective actions.

• Managed the claims submission and reconciliation process, ensuring timely and accurate submission of claims to payers.
• Collaborated with the finance team to develop and implement a new claims management system, resulting in a 20% increase in efficiency.
• Trained and mentored team members on claims management best practices, contributing to a 25% increase in team productivity.