Samreen Fatma Email & Phone Number

Gurugram, Haryana, India

• Validation of Hospital agreements received from commercial team with term and condition and validity of agreement.• Maintain Hospital agreement tracker.• Follow-up with commercial team regarding expired agreements.• Validation of hospital share of surgery as per agreement and invoices quantum of average 5500 invoices every month.• Hospital invoice validation i.e. Invoice date, Invoice number, surgery category and invoice amount.• Preparing MIS of hospital share and insurance unsettled cases month on month and follows with insurance team.• Validation of Approval letter, settlement letters of insurance surgeries.• Follow up with central OPS team for pending, uncompleted and wrong invoices.• Preparing Invoice tracker with the quantum of 5500 on average month.• Provide average surgery payout cost to commercial team for new hospital, category surgery.• Provide data for statutory audit data required by auditors.• Handing any work assigned by manager apart from my routine work.

Noida, Uttar Pradesh, India

• Day to day analysis and coordination with accounts team for ECS Insurer ECS transactions.• Retrieving of settlements from Insurer portals and unit insurance email ids.• Recovery of the Deduction of the amount, which is created by insurance company of the total applied amount Settlements analysis and updating in our internal software.• Coordinating with the internal Pre auth team for settlements queries.• Continuous coordination with the Insurer/TPA for the recovery queries and settlements.• Rigorous follow ups with the Insurer/TPA for the discrepancy updates.• Continuously connecting with the Insurers/TPA for the discrepancy closures and following the TPA Escalation matrix for the closing the same in our records.• Responsible for End to end tracking of TPA recoveries in the dashboard.• Visiting TPA/Insurer (if required) offices for closing the recoveries.• Responsible for reconciling the ECS transactional tracker vs Insurance settlement tracker.• Disbursement of settlement documentation/follow ups.• Flashing the unit wise settlement dashboard.

Gurugram, Haryana, India

• Day to day analysis and coordination with accounts team for ECS Insurer ECS transactions.• Retrieving of settlements from Insurer portals and unit insurance email ids.• Settlements analysis and updation in our internal software.• Coordinating with the internal Pre auth team for settlements queries.• Continuous coordination with the Insurer/TPA for the recovery queries and settlements.• Rigorous follow ups with the Insurer/TPA for the discrepancy updates.• Continuously connecting with the Insurers/TPA for the discrepancy closures and following the TPA escalation matrix for the closing the same in our records.• Responsible for End to end tracking of TPA recoveries in the dashboard.• Visiting TPA/Insurer (if required) offices for closing the recoveries.• Responsible for reconciling the ECS transactional tracker vs Insurance settlement tracker.• Disbursement of settlement documentation/follow ups.• Flashing the unit wise settlement dashboard.

Ghaziabad, Uttar Pradesh, India

• Overall supervision of billing department• To make patients registration, admission and Cash Collection independently.• To make bills of all IP Patients (Self pay, TPA’s and other companies likeCGHS, ECHS, NDPL, MCD, etc.)• To keep track of pending payments of IP patients and recovery of dues on dailybasis.

Delhi, India

• Day to day analysis and coordination with accounts team for ECS Insurer ECStransactions.• Retrieving of settlements from Insurer portals and unit insurance email ids.• Settlements analysis and updation in our internal software.• Coordinating with the internal Pre auth team for settlements queries.• Continuous coordination with the Insurer/TPA for the recovery queries andsettlements.