1. CURRICULAM VITAE
MEDICAL INSURANCE AND MEDICAL CODING
OBJECTIVE
Goal directed professional with a strong medical background and education skilled
communicator persuasive and adaptable self motivated with high energy, initiative
and focus. Keen in- sight in to the need and view of other, able to listen and identify
the issues or problem and solve with innovative solutions.
PROFESSIONAL EXPERIENCE
8+ years of experience in Health Care
Currently working as Denial Management officer in Dublin Health Services.
Dublin Health Services is a Health Services Management Company which owns and
manages Seha Emirates Hospital and IBN Nafees Medical Center and Pharmacies
3 +years experience in Medical Insurance with Good Knowledge in Medical
coding and Medical Billing and RCM.
CURRENT JOB PROFILE
 Evaluates and ensures that all claims denied or underpaid
inappropriately by payers are identified, appealed and reversed
 Works closely with appropriate departments/areas e.g. HIM/coding and
medical team to review and obtain medical documentation required to
facilitate denial appeals process
 Proactively works with multidisciplinary teams to develop procedures to
reduce the number of denials received through reporting of denials and
education of denial trends.
 Works with management on payer contract interpretation, updating
and distribution of correspondence to hospital staff as required.
 Compiles, analyzes and reports on data related to underpayments,
denials, revenue opportunities and revenue leakage
 Categorizes denials based on root cause findings and distributes reports
and metrics to applicable management and teams
 Serves as a resource when necessary for billing and reimbursement
issues
 Continuously reviews applicable regulations, updates and maintains
current knowledge
 Performs special audit requests for denials and assists in the writing of
appeal letters.
ANU JACOB
971562390476
DOB 10/02/1985
Sex Female
Marital Status Married
Nationality Indian
Religion
Christian
Languages Known
English,Arabic,Hindi,
Malayalam, Kannada,
PassportNo
G9581398
Permanent address
Aniakkattu (H)
Kadumeni P.O
Kasaragod(Dist)
Kerala
Present address
Anu Jacob
Fno:3 Villa 5/2 near
Mazhriq Bank , Airport
road AbuDhabi
E-Mail:
anumolchacko1985@gm
ail.com
Saudi Council
Registration:
No-09-R-N-0295770
Technical Skills
Windows, MS Office,
Internet ignix
encoderPor. (3MM)

2. CORE COMPETANCY
 Sound Coding knowledge in all specialty ( DRG, E&M, ICD9, ICD10)
 Deep knowledge End-to-end RCM Process (Approval, Claim Processing , Resubmission , Reconciliation and
Denial management)
 Deep Knowledge in HAAD claims adjudication rules and coding guidelines.
 Strong Medical Background clinical experience in all medical department.
 Good knowledge in Medical Record auditing
 Strong analytical skill and reasoning ability
 Ability to grasp and learn new concepts quickly
 Good communication skills
 Ability to work in a demanding rigorous, and exhilarating team environment
 Good inter personal skills
 Strong leader ship quality.
 Ability to work under tight schedule
 Ability to work in a team or individually
ADDITIONAL QUALIFICATION
 Medical Coding
 Ingnix encoder pro and 3M
 Ms Office, Internet
 BLS diploma
PREVIOUS EXPERIENCE
Employer King Khalid Hospital (Sept 2009 – Aug 2012)
Place Hail, Saudi Arabia
Employer BGS Global Hospital (Mar 2009 – Sep 2009)
Place India
Employer Unity Health Complex (Aug 2006- Dec 2008)
Place India
EDUCATIONAL QUALIFICATION
 Diploma in Nursing and Midwifery: Unity Nursing Institute Mangalore

3.  Plus Two : Higher Secondary School, Kamballor, Kerala
 SSLC : St.Mary's High School, Kadumeni, Kerala.
LANGUAGES
English, Hindi, Malayalam Arabic