Dr. Medha Agarwal Email & Phone Number

Dubai, Ae

United Arab Emirates

Dubai, Dubai, United Arab Emirates

• Provided strategic leadership and organizational direction for achieving goals, with a focus on high-impact business processes.• Responsible for investigating assigned FWA cases as well as researching and analyzing claims data in order to identify potential FWA.• Maintained the FWA case system with accurate and detailed investigative activities related to assigned cases.• Analysed claims and documentation for appropriateness and compliance of policies, state and federal regulations. • Proposed the corporate economic model for budgeting, forecasting and scenario analysis. • Developed a strategic plan and roadmap, to define components and worked with the management to identify gaps.

Dubai, United Arab Emirates

• Spearheaded the operations as the Network Auditor single handedly.• Reported to the Director – Audit and Analytics MEA Region.• Identified operational process inefficiencies and recommended necessary process optimisation measures.• Conducted onsite provider audits and collaborated with regional network audits on training process, automation, enhancements and quality improvements.• Collaborated and communicated with internal and external stakeholders and monitored outcomes.• Oversaw and analysed claim reconciliation for all audited cases.• Prepared reports and cost saving analyses in a timely manner for various audiences, business reporting• Worked with management to draft, clarify and recommend changes to policies which impact network management.

Dubai, United Arab Emirates

• Served as the Subject Matter Expert (SME), handling the planning, control, and management of the Pre approval department and the Revenue Cycle in the hospital.• Reported directly to the Revenue Cycle Manager and Hospital Administrator. • In charge of the pre approval team, medical auditors and re submission team.• Planned and maintained the annual departmental business operations and suggested improvements for processes to ensure quick and effective results.• Ensured effective and fair people management practices throughout the department in accordance with the human resource systems, processes and practices for performance appraisals, disciplinary measures, staff development and succession planning.• Implemented corrective measures to prevent patient complaints; and to measure patient satisfaction. • Investigated and addressed patient complaints promptly took adequate measures to resolve the same and give feedback.• Maintained excellent relations with external providers to enhance company's image and bargaining power.• Managed client relationship, dealing with insurance queries and complaints, upgrading policies and systems, maintaining all contractual records and correspondence with Insurance companies.• Prepared reports on ongoing discrepancies, updating staff on new procedures, training and orientation for doctors, nurses and other hospital staff.

Dubai, United Arab Emirates

• Outlined and streamlined procedures for the Insurance and Admission office regarding policies, billing, admission and discharge procedures.• Formed new policies and protocols to maintain optimum relations between hospital and Insurance companies.• Managed and verified the timely dispatch of claim forms to the insurance companies.• Managed IP approvals including cost estimates and jumbo claims.• Handled client relationship, dealt with insurance queries and complaints, upgraded policies and system, maintained all contractual records and correspondence with the Insurance companies.• Prepared reports on ongoing discrepancies, updated staff on new procedures, conducted training and orientation for doctors, nurses and other hospital staff.• Oversaw the invoicing team in collaboration with the Accounts Department for insurance claims and reconciliation; assisted with the open enrollment of insurance.• Programed and clarified Insurance plans and benefits to the hospital staff. • Ensured that doctors follow the best practices in terms of medical insurance.• Verified and oversaw submitting and resubmitting the insurance claims • Handled the general administration of the office in absence of HOD.

India

Successfully managed the operations of a 20 bedded hospital as a doctor and administrator.

Noida, Uttar Pradesh, India

India

Master Of Business Administration - Mba, Operations Management And Supervision

Dnb Residency Training, Respiratory Medicine

Bachelor Of Medicine, Bachelor Of Surgery - Mbbs, Medicine