INSURANCE COORDINATOR CLAIM SUBMISSIIN OFFICER OMA

" Dynamic and results-driven Insurance Coordinator with over 10 years of comprehensive experience in the healthcare insurance sector, delivering excellence across pre-authorization management, medical claims processing, and TPA coordination in both hospital and clinical environments. Adept at navigating complex insurance protocols and leveraging in-depth knowledge of ICD-10-CM, CPT, and HCPCS coding systems to maximize claim acceptance and reduce denials. Proven success in managing multi-insurer portfolios including LIVA, OQIC, AXA, NextCare, MedNet, SAICO, GREENLINE NAS, and HDFC Ergo, ensuring seamless claims submission, accurate reimbursement reconciliation, and optimized revenue cycle management (RCM). Recognized for developing custom office automation tools that significantly enhanced data integrity and operational efficiency. Certified in CPR & First Aid, with additional training in medical coding, and a strong command over Microsoft Office, insurance portals, and hospital management software. Known for exceptional time management, communication skills, and the ability to build trust across multidisciplinary teams, I bring a rare combination of technical proficiency, regulatory compliance expertise, and a relentless drive to elevate patient and provider satisfaction in insurance operations "
Serial No: 219742
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Skills keywords: health insurance, medical claims specialist, medical billing, medical coding, revenue cycle management, claim processing
Qualifications:

B.COM WITH COMPUTER APPLICATION
MEDICAL CODING AND TRAINING

Personal Information:

Dynamic and results-driven Insurance Coordinator with over 10 years of comprehen- sive experience in the healthcare insurance sector, delivering excellence across pre-authorization management, medical claims processing, Adept at navigating complex insurance protocols and leveraging in-depth knowledge of ICD-10-CM, CPT, and HCPCS coding systems to maximize claim acceptance and reduce denials

Management Skills:

Medical Insurance Coordination, Pre-Authorization Management, Claims Submission & Processing, Insurance Portal Operations, TPA Liaison & Communication, Medical Coding (ICD-10-CM, CPT), Claims Resubmission & Reconciliation, Revenue Cycle Management (RCM), Healthcare Compliance Standards, Data Entry & Claims Auditing, Report Generation & Analysis, Denial Management

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Employment Sought: Permanent
Current Location: Kerala, India
Top 5 countries interested in working in: Oman, Qatar, Saudi Arabia, United Arab Emirates
Right to work in the following countries: Kuwait, Malaysia, Oman, Qatar, Saudi Arabia, Switzerland, United Arab Emirates
Employers, Click here to Hire





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