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MUSTANSEER SHAKIR
Tel: +97155-8691860 | E-mail: mustan120@rediffmail.com | mustan120@gmail.com
Senior Level | Insurance | Billing | Financial & Accounting Management
Revenue Cycle Management
SUMMARY
 Profile: 34 Years, Male  Nationality: Indian  Current Location: Sharjah, UAE
 Position Held : Manager – Insurance  Company: Oriana Hospital
 Visa Status: Employment Visa  Preferred Location: Gulf /Middle East
 Marital: Married
PROFESSIONAL PROFILE
 A dedicated and hard working professional with 11 years of rich & extensive experience in Insurance operations
finance and accounts.
 Bachelor of Commerce; with excellent planning, management, and organisational skills, good interpersonal
skills and ability to interact professionally with people at all levels.
 Proficient in preparing and maintaining statutory books of accounts, orders & report generation with extensive
knowledge in dealing with tax related matters.
 Ability to perform in a stressful environment and under pressure and skilful at handling multiple tasks
simultaneously.
 An attitude of excellence and diligence backed with practical experience and strong organisational abilities.
 A people-oriented approach and can get along well within a new corporate culture.
COMPETENCIES
Insurance Management ■ Accounting ■ Revenue Cycle Management ■ Auditing ■ Bank Reconciliation ■ Working
on Financials ■ MIS & Reporting ■ Compliance Management ■ People Management ■ Accounts Administration ■
Customer Interaction ■ Liaison & Relationship Management
CAREER PATH – KEY ACHIEVEMENTS
Oriana Hospital One Day Surgery Oct 2015 - Present
Manager - Insurance Oct 2015 - Present
Zulekha Hospital LLC, Sharjah Jul 2004 – Oct 2015
Manager - Finance Jan 2014 – Oct 2015
Assistant Manager - Finance Jan 2008 – Dec 2013
Insurance Accountant Jan 2006 – Dec 2007
Insurance Coordinator Jul 2004 – Dec 2005
HIGHLIGHTS
□ Experienced in Hospital Revenue cycle Management and achieved consistent career growth for
demonstrating excellent performance and maintaining commitment and dedication towards assigned duties.
□ Actively involved during JCI accreditation of the Hospital, 2007 - 2010.
□ Underwent CPT 4 & ICD 10 trainings and participated in successful implementation of CPT 4 and ICD 10 in the
hospital.
□ Played an immense role in implementation of the hospital software (Healthcare PRO).
□ Administered all aspects of operations for in-patient and ambulatory patient care units.
□ Involved in the Branding Committee programs in the organization.
□ Handled all Quality Committee works for the department and acted as the company representative for the
same.
KEY PERFORMANCE AREAS
Insurance - Operations Management
 Supervising insurance matters and also supervising junior staff for the related matters.
 Supervising reconciliation of the payments received and make sure reconciliations are sent on time.
 Following-up for the payments not received with all insurance companies.
 Visiting various companies if required for the recon and follow up for payments.
 Analyzing the rejections regularly and counter feedback to be given on the basis of regular rejections to the
insurance department.
 Ensuring claim submission as per DHA Guidelines through E-Claims.
 Managing CPT 4 Price coding.
 Handling write-off cases/issues.
 Modifying the masters/existing entitlements if required in case of new surgery prices etc.
 Supervising claims checking attachments, OP and IP Claims settlement.
 Monitoring staff duty Roster (back office) and following up training calendar.
 Introducing New Insurance Company on panel and visiting insurance company for new services, prices,
complaints, delay in payment, etc.
 Preparing Cost Estimate for Direct Parties for Admission.
 Coordinating with Insurance companies for empanelment with the Hospital.
 Supervising the claim dispatch on timely basis to insurance company.
 Analysing reports from Coordinators (claims settlement, claims checking, claims dispatched & unprocessed
claims and reason, write off, etc).
 Giving solution for unprocessed claims or any lacking for claims process step.
 Supervising Payment collection as per the target and insurance entitlement master updates.
 Making packages for in-house doctor and visiting doctors.
 Arranging training for staff from insurance company.
Finance & Accounts Management
 Monitoring preparation of statutory books of Accounts, Bank Reconciliation and Consolidated Reports in
compliance with time & accuracy norms.
 Overseeing control on invoicing and revenue accounting.
 Ensuring financial objectives, systems, policies & procedures to facilitate control.
 Preparing, examining and analyzing accounting records, financial statements and other financial reports to
assess accuracy and finalize the accounts.
 Coordinating and supervising accounting activities and providing guidance to achieve desired result.
 Handling complete books of accounts independently up to finalization including books of cash transaction and
bank reconciliation.
 Preparing the Leave Salary and Final Settlement of the Staff.
 Taking care of accounts Payables, prepare cash flow statements, customer-vendor reconciliation statements
and prepare pertinent reports.
Accounts Receivable
 Handling reconciliation of accounts receivable trial balances with the general ledger control account.
 Monitoring & maintaining all advance deposits received and balancing them to the general ledger at month
end.
 Checking accounts payable to ensure completeness of recording liability in time.
 Responsible for target achievement assignment given by the company.
 Monitoring all general ledgers accounts together with costing efforts and its supporting transaction documents.
Report to management regarding the finances of establishment.
Compliance Management
 Monitoring bank transfers; reconciliation of bank statements and all general ledgers accounts with cost and its
supporting documents as per set norms.
 Coordinating with Financial Controller for implementation of set processes.
 Maintaining strict adherence in following the process specified according to the role and compliance.
 Maintaining and revising policies and procedures for general operations.
 Developing and implementing document record keeping and accounting systems up to date using computers.
 Ensuring proper maintenance of Masters in software and update the same after approval from Finance
Manager.
 Coordinating with Software Developer for rectifying any bugs in the system.
MIS Report
 Preparing & verifying monthly provisions and budgeting.
 Preparing all the MIS reports required by the management and reviewing performance.
 Verifying, analysing & controlling of general ledgers with accounting standards.
 Preparing & analysing the fund & cash flow statement.
 Making Tax/Bank reconciliation on periodic basis.
Operations Management
 Liaising with banks, financial institutions, and Creditors in order to ensure smooth operations.
 Entering all the invoices of suppliers after checking the appropriate authorization and verification.
 Making monthly supplier payments and reconcile the vendor ledgers timely.
 Entering fixed assets purchase and maintaining all the contracts and LPO files.
 Preparing payment of Electricity, Telephone & Petrol bills for the organization and account for the same.
 Monitoring the payment of E-Dirham transactions.
 Liaising with HR Department for Personal staff files maintenance, preparing cheques for staff going on Annual
leave and Final Settlement.
 Recording Visa expenses in coordination with PRO Department and reconcile the bills submitted for the same.
 Issuing Loan Letters and Salary Certificates to staff.
 Preparing cheques for transfer funds to and from other sister concern accounts on periodic basis.
 Interacting with clients/customers on related issues and guidance on set policies and requirements.
Team & People Management
 Handling the team of up to 40 FTE's and actively participating in the process of the department workflow.
 Leading, managing & monitoring the performance of team members to ensure efficiency in financial
operations and meeting of individual & group targets.
 Ensuring mentoring of new entrants for contributing to the organisation in short period of time.
 Monitoring the team while delegating work, updating them with latest trends & techniques in the process.
EDUCATION
2002 Bachelor of Commerce, Sindhu Mahavidhlaya, Nagpur University, India
IT SKILLS
 Completed Computer Course from CIC-CCIT, India - Topics: MS Office application and Tally Packages.
 Adept in Accounting Packages such as Tally (5.4, 6.3, 7.2 & 9) and Peachtree.
 Well versed with MS Office (Word, Excel, PowerPoint, and Access), Internet & E Mail applications.
REFERENCES: Available on request.

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CV FINAL FINAL1 (1) (1) (1)

  • 1. MUSTANSEER SHAKIR Tel: +97155-8691860 | E-mail: mustan120@rediffmail.com | mustan120@gmail.com Senior Level | Insurance | Billing | Financial & Accounting Management Revenue Cycle Management SUMMARY  Profile: 34 Years, Male  Nationality: Indian  Current Location: Sharjah, UAE  Position Held : Manager – Insurance  Company: Oriana Hospital  Visa Status: Employment Visa  Preferred Location: Gulf /Middle East  Marital: Married PROFESSIONAL PROFILE  A dedicated and hard working professional with 11 years of rich & extensive experience in Insurance operations finance and accounts.  Bachelor of Commerce; with excellent planning, management, and organisational skills, good interpersonal skills and ability to interact professionally with people at all levels.  Proficient in preparing and maintaining statutory books of accounts, orders & report generation with extensive knowledge in dealing with tax related matters.  Ability to perform in a stressful environment and under pressure and skilful at handling multiple tasks simultaneously.  An attitude of excellence and diligence backed with practical experience and strong organisational abilities.  A people-oriented approach and can get along well within a new corporate culture. COMPETENCIES Insurance Management ■ Accounting ■ Revenue Cycle Management ■ Auditing ■ Bank Reconciliation ■ Working on Financials ■ MIS & Reporting ■ Compliance Management ■ People Management ■ Accounts Administration ■ Customer Interaction ■ Liaison & Relationship Management CAREER PATH – KEY ACHIEVEMENTS Oriana Hospital One Day Surgery Oct 2015 - Present Manager - Insurance Oct 2015 - Present Zulekha Hospital LLC, Sharjah Jul 2004 – Oct 2015 Manager - Finance Jan 2014 – Oct 2015 Assistant Manager - Finance Jan 2008 – Dec 2013 Insurance Accountant Jan 2006 – Dec 2007 Insurance Coordinator Jul 2004 – Dec 2005 HIGHLIGHTS □ Experienced in Hospital Revenue cycle Management and achieved consistent career growth for demonstrating excellent performance and maintaining commitment and dedication towards assigned duties. □ Actively involved during JCI accreditation of the Hospital, 2007 - 2010. □ Underwent CPT 4 & ICD 10 trainings and participated in successful implementation of CPT 4 and ICD 10 in the hospital. □ Played an immense role in implementation of the hospital software (Healthcare PRO). □ Administered all aspects of operations for in-patient and ambulatory patient care units. □ Involved in the Branding Committee programs in the organization. □ Handled all Quality Committee works for the department and acted as the company representative for the same. KEY PERFORMANCE AREAS Insurance - Operations Management  Supervising insurance matters and also supervising junior staff for the related matters.  Supervising reconciliation of the payments received and make sure reconciliations are sent on time.  Following-up for the payments not received with all insurance companies.  Visiting various companies if required for the recon and follow up for payments.  Analyzing the rejections regularly and counter feedback to be given on the basis of regular rejections to the insurance department.
  • 2.  Ensuring claim submission as per DHA Guidelines through E-Claims.  Managing CPT 4 Price coding.  Handling write-off cases/issues.  Modifying the masters/existing entitlements if required in case of new surgery prices etc.  Supervising claims checking attachments, OP and IP Claims settlement.  Monitoring staff duty Roster (back office) and following up training calendar.  Introducing New Insurance Company on panel and visiting insurance company for new services, prices, complaints, delay in payment, etc.  Preparing Cost Estimate for Direct Parties for Admission.  Coordinating with Insurance companies for empanelment with the Hospital.  Supervising the claim dispatch on timely basis to insurance company.  Analysing reports from Coordinators (claims settlement, claims checking, claims dispatched & unprocessed claims and reason, write off, etc).  Giving solution for unprocessed claims or any lacking for claims process step.  Supervising Payment collection as per the target and insurance entitlement master updates.  Making packages for in-house doctor and visiting doctors.  Arranging training for staff from insurance company. Finance & Accounts Management  Monitoring preparation of statutory books of Accounts, Bank Reconciliation and Consolidated Reports in compliance with time & accuracy norms.  Overseeing control on invoicing and revenue accounting.  Ensuring financial objectives, systems, policies & procedures to facilitate control.  Preparing, examining and analyzing accounting records, financial statements and other financial reports to assess accuracy and finalize the accounts.  Coordinating and supervising accounting activities and providing guidance to achieve desired result.  Handling complete books of accounts independently up to finalization including books of cash transaction and bank reconciliation.  Preparing the Leave Salary and Final Settlement of the Staff.  Taking care of accounts Payables, prepare cash flow statements, customer-vendor reconciliation statements and prepare pertinent reports. Accounts Receivable  Handling reconciliation of accounts receivable trial balances with the general ledger control account.  Monitoring & maintaining all advance deposits received and balancing them to the general ledger at month end.  Checking accounts payable to ensure completeness of recording liability in time.  Responsible for target achievement assignment given by the company.  Monitoring all general ledgers accounts together with costing efforts and its supporting transaction documents. Report to management regarding the finances of establishment. Compliance Management  Monitoring bank transfers; reconciliation of bank statements and all general ledgers accounts with cost and its supporting documents as per set norms.  Coordinating with Financial Controller for implementation of set processes.  Maintaining strict adherence in following the process specified according to the role and compliance.  Maintaining and revising policies and procedures for general operations.  Developing and implementing document record keeping and accounting systems up to date using computers.  Ensuring proper maintenance of Masters in software and update the same after approval from Finance Manager.  Coordinating with Software Developer for rectifying any bugs in the system. MIS Report  Preparing & verifying monthly provisions and budgeting.  Preparing all the MIS reports required by the management and reviewing performance.  Verifying, analysing & controlling of general ledgers with accounting standards.  Preparing & analysing the fund & cash flow statement.  Making Tax/Bank reconciliation on periodic basis. Operations Management  Liaising with banks, financial institutions, and Creditors in order to ensure smooth operations.  Entering all the invoices of suppliers after checking the appropriate authorization and verification.  Making monthly supplier payments and reconcile the vendor ledgers timely.  Entering fixed assets purchase and maintaining all the contracts and LPO files.  Preparing payment of Electricity, Telephone & Petrol bills for the organization and account for the same.  Monitoring the payment of E-Dirham transactions.
  • 3.  Liaising with HR Department for Personal staff files maintenance, preparing cheques for staff going on Annual leave and Final Settlement.  Recording Visa expenses in coordination with PRO Department and reconcile the bills submitted for the same.  Issuing Loan Letters and Salary Certificates to staff.  Preparing cheques for transfer funds to and from other sister concern accounts on periodic basis.  Interacting with clients/customers on related issues and guidance on set policies and requirements. Team & People Management  Handling the team of up to 40 FTE's and actively participating in the process of the department workflow.  Leading, managing & monitoring the performance of team members to ensure efficiency in financial operations and meeting of individual & group targets.  Ensuring mentoring of new entrants for contributing to the organisation in short period of time.  Monitoring the team while delegating work, updating them with latest trends & techniques in the process. EDUCATION 2002 Bachelor of Commerce, Sindhu Mahavidhlaya, Nagpur University, India IT SKILLS  Completed Computer Course from CIC-CCIT, India - Topics: MS Office application and Tally Packages.  Adept in Accounting Packages such as Tally (5.4, 6.3, 7.2 & 9) and Peachtree.  Well versed with MS Office (Word, Excel, PowerPoint, and Access), Internet & E Mail applications. REFERENCES: Available on request.