Najeeba Thajudeen Email & Phone Number

Dubai, United Arab Emirates

• Expertise in assigning accurate ICD-10, CPT, DDC, HCPCS and other service codes for diagnosis and procedures performed in the Inpatient/outpatient setting.• Resubmission and reconciliation work of Insurance. Maintaining proper documents, Proficient in Microsoft Excel, Word etc., Coordinate activities of staff.• Applying advanced knowledge of medical terminology, anatomy and physiology, treatment modalities, diagnostic test, medications Acts as a resource when necessary for billing, pre-authorization and reimbursement issues and outpatient / inpatient coding.• Outstanding ability to maintain strong relations with Physicians, employees, pharmacist, receptionist, and Insurance companies.• Working in IP and OP rejection claims (nearly 150 rejection claims per day).• Medically justifying for rejected claims according to denial codes.• Identifying and evaluating the specified problems and correcting the mistakes occurred.• Focusing on each agreed tariff and reconciling according to the policy.• Prepared claims with required documentation and distribute accordingly in a timely manner to expedite payment, Good knowledge of all plans and medical invoices.• Demonstrated strong attention to detail and ability to multitask within the fast-paced, high-pressure work environment.• Strong accomplished experience in insurance and medical business office. Processed insurance and disability claims in a timely manner.• Sound knowledge of medical terminology and insurance practices. Maintained strict confidentiality related to medical records and other data.• Interacted with pharmacy, clinical staff, co-workers, and other departments in a positive and professional manner. • Appropriate selection of principal diagnosis, qualifying secondary diagnosis, impacting procedures and other services which is relevant for submission and reimbursement. • Proficient in working with computer, Riyati, DHPO and HIMS application.

United Arab Emirates

• Resubmission and Submission work of Insurance. Maintaining proper documents, Proficient in Microsoft Excel, Word etc., Coordinate activities of staff.• Outstanding ability to maintain strong relations with Physicians, employees, patients and Insurance companies.• Acquired specific CPT and ICD-10 codes to ensure proper treatment and billing of all detailed procedures.• Prepared claims with required documentation and distribute accordingly in a timely manner to expedite payment, Good knowledge of all plans and medical invoices.• Demonstrated strong attention to detail and ability to multitask within the fast-paced, high-pressure work environment.• Strong accomplished experience in insurance and medical business office. Processed insurance and disability claims in a timely manner.• Sound knowledge medical terminology and insurance practices. Maintained strict confidentiality related to medical records and other data.• Interacted with pharmacy, clinical staff, co-workers and other departments in a positive and professional manner.• Proficient in working with computer and SAP application.

Kerala, India

• Maintaining administrative documents, Coordinate activities of staff.• Administer salaries and determine leave entitlements.• Scheduling and attending meetings, creating agendas.• Prepare annual estimates of expenditure, maintain budgetary and inventory controls and make recommendations to management.• Maintain management information systems (manual or computerized)• Provide and maintain business premises and other facilities. Provide secretarial or executive services for committees.• Dealing with telephone and email enquiries. Ordering and maintaining stationery and equipment. Review and answer correspondence.• Sorting and distributing incoming post and organizing and sending outgoing post. Organizing and storing paperwork, documents and computer-based information.• Photocopying and printing various documents, sometimes on behalf of other colleagues. Recruiting, training and supervising junior staff and delegating work as required.

Kerala, India