Accomplished healthcare professional with extensive expertise in anaesthetics administration, airway management, and intensive care medicine. Demonstrates exceptional skills in surgical team coordination and pre-operative assessment, ensuring optimal patient outcomes. Proficient in psychiatric evaluation and mental health counselling, with a strong foundation in psychopharmacology. Adept at medical insurance claims processing, including patient eligibility verification and claims audit compliance. Committed to advancing clinical leadership and enhancing hospital–insurance coordination to improve healthcare delivery.
• Reviewed and processed medical insurance claims in compliance with hospital and insurance policies.
• Verified patient eligibility, coverage limits, and obtained pre-authorizations for procedures and treatments.
• Coordinated with doctors, nurses, and administrative staff to ensure accurate medical documentation and coding (ICD, CPT).
• Communicated with insurance providers to secure timely approvals, preventing treatment delays.
• Assisted patients and families in understanding insurance coverage, co-payments, and approval requirements.
• Maintained accurate claim records and collaborated with billing/finance teams to reduce denials and revenue loss.
• Identified discrepancies and resolved issues to streamline the hospital’s claims workflow.