1. Built a dashboard for tracking the rejections before and after resubmission, alongwith a number of other factors like claim cost containment across IP, OP, Day Case and Pharmacy Claims for having a business preview before going into negotiation for final recon payment with healthcare providers.2. Preparing reserves and sharing it the payers for a potential payback as part of recon payment while keeping an eye on loss ratio of different policies.3. Coordinating with claims and finance department for claims processing and payment for answering the provider queries.4. Implementing new regulations circulated by regulatory authorities and having regular internal and external meetings for impact analysis on the business performance.5. Negotiating the Early Payment Discounts and Volume Rebates with the providers and preparing the data sets for annual collections for meeting internal revenue generation targets.

1. Preparing the aging reports on monthly basis based on claim submission and tracking the target on daily basis.2. Supervising the team for tracking the bank statements, booking the inward payments from clients, allocating the respective payment, and preparing the daily collection report.3. Doing rigorous follow up with Insurance Companies and TPA’s and Corporate clients while keeping the business relationship on top.4. Rigorous reconciliation of the outstanding statement for getting maximum payment out of the rejected amount and yearend closure of accounts with Insurance/ TPA’s.5. Submission reconciliation on monthly basis of internal and external sources for realising the actual revenue in coordination with submission team.6. Preparing the Rejection Analysis report on month end and sharing it with relevant stake holders like the Submission and Resubmission team for training purposes and reducing the rejections.7. Preparing MIS reports like Collection Report, Rejection Analysis Report and presenting it to the Higher Management to address the current challenges and future strategy.8. Negotiating the Volume Rebate with Insurances/ TPA’s and doing monthly provisioning as per the agreed contracts9. Preparing the Credit Risk Policy based on the past trends and current business and controlling the credit as per the laid-out criteria.

1. Maintaining the revenue cycle of the groupa. Downloading the RAs from the relevant post office i.e. DHPO for Dubai & NE facilities and Green Rain Messenger for AUH Facilitiesb. Maintaining the collection ledger for the respective facilitiesc. Maintaining the AR file of submitted claims on monthly basis in coordination with the submission teamd. Allocating the amount as per the collection and RA received from the Insurance Company/ TPAe. Preparing the Denial report for the resubmission teamf. Preparing the MIS report on monthly basis for the management g. Preparing the aging the report and following up with the Insurance Companies/ TPA for due payments.h. Reconciling the accounts with respective Insurance Company/ TPA for year end closure2. Coordinating with the submission and resubmission team for denial management3. Training the clinic staff on eligibility checks and other necessary steps for minimizing rejections.4. Following up for the payments from Insurance Companies, TPAs and other clients

1. Maintaining and Building Provider Network by retaining existing providers and adding potential Providers keeping in view the required expansion of Network in Dubai and Northern Emirates.2. Analyzing and Negotiating tariffs with Non Network Providers and existing Providers for min cost per claim possible.2. Responsible for Account Payable.3. Reconciling the Providers' Statement of Accounts, preparing and sending analytical reports to Accounts for releasing the Payments and sending Remittance Advice to Providers for denial explanation.4. Providing training to the Providers on claims submission and keeping them updated on recent Government Legislation on procedural changes.5. Helping providers improve their handling of Members' credentials, collecting correct information for future claims submission by Facility Visits.6. Actively Coordinating with Claims, Audit, Marketing and Finance departments for developing strategies on building and maintaining provider Network and Members.

1. Provide quality services to the valued large account holders of enterprise post-paid plans.2. Manage the Accounts of Corporate Clients through calls and meetings as per the requirement and keeping them updated about recent and upcoming offers as per the company requirements.3. Manage the documentation process by staying in touch with the technical contact or the legal representative provided by the client.4. Priority services to the DU telecom customer and follow the company parameters of service level and enterprise sales. Target oriented 5. Mobile number portability and timely management of their accounts and update their billing reports and facilitate them for value added services.6. SME Retention and Customer facilitation, telecom solution sales and services.

1. Overseeing the survey team in contracted areas and implementing the SOPs 2. Managing the Analytics team 3. Vetting the final maps from the survey team before handing over to analytics team4. Vetting the final proposal before submission to relevant department for disbursement of funds5. Keeping close coordination with clients and overlooking the implementation of projects after approval of proposal6. Meeting with concerned department like WAPDA and local government for smooth work process7. Preparing the analytical reports for negotiating the contract with new clients8. Coordinating with relevant departments like Finance and Logistics for smooth running of the projects

1. Resolving product or service problems by clarifying the customer's complaint; determining the cause of the problem; selecting and explaining the best solution to solve the problem; expediting correction or adjustment; following up to ensure resolution.2. Answering to large chunk of incoming calls and handling the queries.3. Actively managing the record keeping and database system during the calls and also handling assistance tools like different software for providing accurate information to customer.Identifying and assessing the customer needs and suggesting remedy to the utmost customer satisfaction.4. Handling complaints and providing appropriate solutions and alternatives staying within time limits.5. Going an extra mile to engage customer while following communication procedures, guidelines and standard operating procedures.