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DEEPA RANI.C
Mobile:Mobile: ++00971 52 9197307 EmailEmail :: deeparani8833@gmail.com
• A competent professional with an experience over 8 years in Resubmission and Invoicing Tasks
• Hands on experience in the same field
• Expertise in Invoicing claims and resubmission of the rejected claims from the concerned insurance
companies.
• Coordinate with Insurance companies, Receptionist, Billing Clerk, Nursing and Doctor for effective
function.
• Excellent interpersonal, communication, team building skills with experience in training and development
of the workforce.
• MBA – Hospital Management/Record management
• MEDICAL TERMINOLOGY with 98.5% from HIMAA Australia.
• ICD 10 AM coding from HIMAA -Australian university (86% score)
• 1.5 Years of Experience as Coder using ICD 10 Am in QATAR STATE.
• 9 years of experience as an Insurance Team leader and clinical coder in UAE
• Attended the Training course from AAPC for ICD 9 cm course
Features
• Experience as a Team Leader
• Knowledge of health classification codes
• Knowledge of medical terminology, including anatomy and physiology
• The ability to use databases
• The ability to analyse and interpret medical notes.
• Have Knowledge ICD 10 Codes, ACHI , ACS.
• Knowledge in using 3 M code finder, CERNER, ORACLE.
• Knowledge in CPT codes
• E-claim
• Uploading the claims through Green rain messenger to HAAD
Page 1 of 5
Manager/ Supervisor / Coder- Coding, Resubmission and Invoicing position
(Insurance) in a major international company with long-term career potential for advancement and
growth
SYNOPSISSYNOPSIS
Certifications
• Insurance Invoicing
• Re-submission of rejected claims
• Typing Speed of above 38 words per minute
• Knowledge of MS- Office
EXPERIENCE SCAN -EXPERIENCE SCAN -9 +years - Insurance9 +years - Insurance in Gulfin Gulf
countriescountries
National Reference Laboratory
2015 October to till date
Insurance Supervisor
Key Responsibilities
• Coding the services and checking the accuracy of coding
• Maintain the price list and Master list for CPT codes
• Maintain the price list and Master list for ICD codes
• Provide support to medical and other clinical personnel to ensure the appropriate allocation
diagnoses codes and procedure codes can be substantiated by documentation within the
medical record.
• Accept responsibility for the follow-up and correct of personal coding errors where
applicable.
• Ensure the accurate completion of documentation and the timely reporting of data to
Manager
• Assist in the organization and prioritization of the overall workload as a member of the
clinical coder team. •
• Liaise with fellow coders and with the Manager Coding Services regarding queries or
problems in determining the Coding errors
• Prepare documents, invoices after carefully applying negotiated rates/discounts.
• Handle follow up questions from clients and resolve any discrepancies
• Maintain the complete record of transactions made with all the clients of NRL
• Follow up for payments in a timely manner
• Assist the finance manager for financial statements.
• Responsibilities for all the aspects of insurance documentation, coding, billing , collection
and reconciliation.
• respond to or obtain information from the Ministry of Health on health classification
coding-related issues
Aster Medical centre -Qatar
Page 2 of 5
2014 May to October 2015
Deputy Manager - 1 year 7 months
Key Responsibilities
• Cross verify each and every invoice sent to insurance to confirm the figures with FA
figures
• On receipt of the payment details from the concerned persons/ insurance
companies, resubmission to be made within 15 days.
• To prepare a report and update finance department for the resubmission made.
• To follow up for payment with the insurance companies for resubmitted claims.
• To have a check on the rejection made and to send a doctor wise rejection report to
Finance department on a Monthly basis (By 3rd
of every month).
• Report to be prepared clearly stating the rejection made by an insurance company
for write off purpose.
• Revise the tariff with each insurance company every two years after getting the
approval of rates from Finance department and CEO.
• To have SOP prepared and kept at each clinic with regard to each insurance
company.
• Regularly follow up with the insurance companies for payment.
• Reduce the present credit period with each company and bring it to the terms agreed
in contract.
• Empanelment of Clinics with NHIC.
• To carry out other duties assigned by the Management from time to time.
N.M.C Speciality Hospital- Abudhabi
March 2009 to April 2014
Insurance officer- 5 years
Key Responsibilities
INVOICING
• Porting data from HMS, Pharmacy to Invoicing module on weekly basis.
• Linking the data of patient, date and service wise in the invoicing module
verification of rate as per service and agreed discount..
• Ensure services availed by the patient are billed to the insurance companies on
monthly basis.
• Ensure invoices are attach with all supporting documents and filed it properly.
• Verify the card copy of the insurance , network coverage , pre approval terms
and conditions, Co insurance and deductibles are collected from the patient
Page 3 of 5
• Preparing the summary of billing as per the insurance company’s format.
• Correcting the wrong ICD’s CPT’s etc as per the doctor’s instruction
• Invoicing the claims after rectifying the errors to the concerned insurance
companies in a timely manner.
RE-SUBMISION
• Re – submission of rejected claims from the insurance companies after rectifying the
errors
• Periodical meeting with insurance companies to resolve the policy issues.
• Coordinate with doctors and concerned departments for solving the problems
relating to the rejected claims(ICD, CPT etc)
• Finishing the rejected cheque before the dead line.
• Re submitting the claims by E-claim.
• Apply creative problem-solving to selected claims, while adhering to policy
definition and regulations.
• Uploading the insurance claims after correction of rejections through Green rain
Messenger to HAAD.
• Develop and maintain relationships with insurance companies.
• Thorough documentation and general office administration. Preparing documents
for the upcoming event like a meeting or conference and handing out those papers
to the concerned persons.
• Arranging meetings and presentations regarding the issues related to the rejected
claims.
Al Ahalia Hospital Abudhabi
February 2007 to February 2009
Insurance Executive 3 years
Key Responsibilities
• Ensure all entries in the hospital information and invoicing module and
pharmacy point of sale with regard to any credit entries are supported by
documents and are available within the expected time frame.
• Identify that the entries in HMS are traced to registers maintained on a day to day
basis by th relevant departments on the respective areas and any modifications,
errors cancellation are authorized by the department heads.
• Checking the credit sheet and doctors register
• Invoicing the claims after all the corrections and submitting the claims to the
concerned insurance companies.
Page 4 of 5
• MBA (Healthcare and Hospital Management)
• B.A Degree(Economics)
Kerala University
• Pre Degree
N.S.S college Karamana , Trivandrum
• Secondary School Leaving Certificate (S.S.L.C)
Cotton Hills Girls High School, Trivandrum
Date of Birth : 25th
may
Address : Abudhabi
Gender : Female
Nationality : Indian
Visa Status : Residence Permit Visa
Marital Status : Married
Others : Valid UAE driving License
Page 5 of 5
EDUCATION
PERSONAL VITAE
• MBA (Healthcare and Hospital Management)
• B.A Degree(Economics)
Kerala University
• Pre Degree
N.S.S college Karamana , Trivandrum
• Secondary School Leaving Certificate (S.S.L.C)
Cotton Hills Girls High School, Trivandrum
Date of Birth : 25th
may
Address : Abudhabi
Gender : Female
Nationality : Indian
Visa Status : Residence Permit Visa
Marital Status : Married
Others : Valid UAE driving License
Page 5 of 5
EDUCATION
PERSONAL VITAE

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Deepa rani - CV updated

  • 1. DEEPA RANI.C Mobile:Mobile: ++00971 52 9197307 EmailEmail :: deeparani8833@gmail.com • A competent professional with an experience over 8 years in Resubmission and Invoicing Tasks • Hands on experience in the same field • Expertise in Invoicing claims and resubmission of the rejected claims from the concerned insurance companies. • Coordinate with Insurance companies, Receptionist, Billing Clerk, Nursing and Doctor for effective function. • Excellent interpersonal, communication, team building skills with experience in training and development of the workforce. • MBA – Hospital Management/Record management • MEDICAL TERMINOLOGY with 98.5% from HIMAA Australia. • ICD 10 AM coding from HIMAA -Australian university (86% score) • 1.5 Years of Experience as Coder using ICD 10 Am in QATAR STATE. • 9 years of experience as an Insurance Team leader and clinical coder in UAE • Attended the Training course from AAPC for ICD 9 cm course Features • Experience as a Team Leader • Knowledge of health classification codes • Knowledge of medical terminology, including anatomy and physiology • The ability to use databases • The ability to analyse and interpret medical notes. • Have Knowledge ICD 10 Codes, ACHI , ACS. • Knowledge in using 3 M code finder, CERNER, ORACLE. • Knowledge in CPT codes • E-claim • Uploading the claims through Green rain messenger to HAAD Page 1 of 5 Manager/ Supervisor / Coder- Coding, Resubmission and Invoicing position (Insurance) in a major international company with long-term career potential for advancement and growth SYNOPSISSYNOPSIS Certifications
  • 2. • Insurance Invoicing • Re-submission of rejected claims • Typing Speed of above 38 words per minute • Knowledge of MS- Office EXPERIENCE SCAN -EXPERIENCE SCAN -9 +years - Insurance9 +years - Insurance in Gulfin Gulf countriescountries National Reference Laboratory 2015 October to till date Insurance Supervisor Key Responsibilities • Coding the services and checking the accuracy of coding • Maintain the price list and Master list for CPT codes • Maintain the price list and Master list for ICD codes • Provide support to medical and other clinical personnel to ensure the appropriate allocation diagnoses codes and procedure codes can be substantiated by documentation within the medical record. • Accept responsibility for the follow-up and correct of personal coding errors where applicable. • Ensure the accurate completion of documentation and the timely reporting of data to Manager • Assist in the organization and prioritization of the overall workload as a member of the clinical coder team. • • Liaise with fellow coders and with the Manager Coding Services regarding queries or problems in determining the Coding errors • Prepare documents, invoices after carefully applying negotiated rates/discounts. • Handle follow up questions from clients and resolve any discrepancies • Maintain the complete record of transactions made with all the clients of NRL • Follow up for payments in a timely manner • Assist the finance manager for financial statements. • Responsibilities for all the aspects of insurance documentation, coding, billing , collection and reconciliation. • respond to or obtain information from the Ministry of Health on health classification coding-related issues Aster Medical centre -Qatar Page 2 of 5
  • 3. 2014 May to October 2015 Deputy Manager - 1 year 7 months Key Responsibilities • Cross verify each and every invoice sent to insurance to confirm the figures with FA figures • On receipt of the payment details from the concerned persons/ insurance companies, resubmission to be made within 15 days. • To prepare a report and update finance department for the resubmission made. • To follow up for payment with the insurance companies for resubmitted claims. • To have a check on the rejection made and to send a doctor wise rejection report to Finance department on a Monthly basis (By 3rd of every month). • Report to be prepared clearly stating the rejection made by an insurance company for write off purpose. • Revise the tariff with each insurance company every two years after getting the approval of rates from Finance department and CEO. • To have SOP prepared and kept at each clinic with regard to each insurance company. • Regularly follow up with the insurance companies for payment. • Reduce the present credit period with each company and bring it to the terms agreed in contract. • Empanelment of Clinics with NHIC. • To carry out other duties assigned by the Management from time to time. N.M.C Speciality Hospital- Abudhabi March 2009 to April 2014 Insurance officer- 5 years Key Responsibilities INVOICING • Porting data from HMS, Pharmacy to Invoicing module on weekly basis. • Linking the data of patient, date and service wise in the invoicing module verification of rate as per service and agreed discount.. • Ensure services availed by the patient are billed to the insurance companies on monthly basis. • Ensure invoices are attach with all supporting documents and filed it properly. • Verify the card copy of the insurance , network coverage , pre approval terms and conditions, Co insurance and deductibles are collected from the patient Page 3 of 5
  • 4. • Preparing the summary of billing as per the insurance company’s format. • Correcting the wrong ICD’s CPT’s etc as per the doctor’s instruction • Invoicing the claims after rectifying the errors to the concerned insurance companies in a timely manner. RE-SUBMISION • Re – submission of rejected claims from the insurance companies after rectifying the errors • Periodical meeting with insurance companies to resolve the policy issues. • Coordinate with doctors and concerned departments for solving the problems relating to the rejected claims(ICD, CPT etc) • Finishing the rejected cheque before the dead line. • Re submitting the claims by E-claim. • Apply creative problem-solving to selected claims, while adhering to policy definition and regulations. • Uploading the insurance claims after correction of rejections through Green rain Messenger to HAAD. • Develop and maintain relationships with insurance companies. • Thorough documentation and general office administration. Preparing documents for the upcoming event like a meeting or conference and handing out those papers to the concerned persons. • Arranging meetings and presentations regarding the issues related to the rejected claims. Al Ahalia Hospital Abudhabi February 2007 to February 2009 Insurance Executive 3 years Key Responsibilities • Ensure all entries in the hospital information and invoicing module and pharmacy point of sale with regard to any credit entries are supported by documents and are available within the expected time frame. • Identify that the entries in HMS are traced to registers maintained on a day to day basis by th relevant departments on the respective areas and any modifications, errors cancellation are authorized by the department heads. • Checking the credit sheet and doctors register • Invoicing the claims after all the corrections and submitting the claims to the concerned insurance companies. Page 4 of 5
  • 5. • MBA (Healthcare and Hospital Management) • B.A Degree(Economics) Kerala University • Pre Degree N.S.S college Karamana , Trivandrum • Secondary School Leaving Certificate (S.S.L.C) Cotton Hills Girls High School, Trivandrum Date of Birth : 25th may Address : Abudhabi Gender : Female Nationality : Indian Visa Status : Residence Permit Visa Marital Status : Married Others : Valid UAE driving License Page 5 of 5 EDUCATION PERSONAL VITAE
  • 6. • MBA (Healthcare and Hospital Management) • B.A Degree(Economics) Kerala University • Pre Degree N.S.S college Karamana , Trivandrum • Secondary School Leaving Certificate (S.S.L.C) Cotton Hills Girls High School, Trivandrum Date of Birth : 25th may Address : Abudhabi Gender : Female Nationality : Indian Visa Status : Residence Permit Visa Marital Status : Married Others : Valid UAE driving License Page 5 of 5 EDUCATION PERSONAL VITAE