PERSONAL DETAILS

Mohammed Iqbal

M: 00971503212786

Email: mohamediqu@gmail.commohamed.i@agh–seha.ae

Driving license: Yes

PERSONAL SKILLS

Self-motivated

Target driven

Initiative Articulate

Influencing skills

Honest

Work under Pressure

LANGUAGESArabicEnglishUrduHindiMalayalamTamil

Mohammed IqbalPE RS ON A L S UMM A R Y

To work with an organization offering a dynamic and professional environment which will help to achieve the goals of the organization and simultaneously enhance my skills and knowledge & enable to grow professionally within the organization.

W OR K E X P ER IE N C E :

Abu Dhabi   Health Services Company –   SEHA .MEDICAL INSURANCE COORDINATOR, (February 2013 – Present)

Responsibilities:-

Managing works in the department by planning, organizing and directing the hospital insurance programs.

Preparing and submitting documentation in support of property and liability claims involving the facility.

Reviewing and analyzing insurance premiums and recommends appropriate internal distribution among funding sources And Monitoring all other claims status with the state and user departments until settlement is complete.

Maintaining relations with insurance providers and provide customer service and liaison between the patients, physicians, nurses, medical coders and Insurance company.

Managing the front desk staffs and ensuring team development and complaint resolution, setting key performance indicators for direct reports and Collaborating with other members of the team to carry out work smoothly.

Maintaining confidentiality with regards to any information exchanged or received in accordance with facility policy.

Clarifies discrepancies in documentation and coding.

Verifies health care charges against established rates for diagnosis, treatment, services and supplies. Maintain patient accounts via automated billing system, using codes to facilitate reimbursement from insurance companies; and establishes pro-rata responsibility to permit prompt collection of patients share.

Assisting with the overall patient finance operations of the acute care facility including patient accounts and other financial planning activities within the hospital organization

Adhering to requirements of the occupational health and safety guidelines and infection control guidelines.

1.

Pioneer House LLC – Dubai. SENIOR SALES & MARKETING EXECUTIVE, (January 2011-January 2013) Responsibilities:-

Demonstrated exceptional communication skills in consulting with key

decision makers, delivering powerful presentations, persuasively

negotiating major transactions, steering critical committees, managing

high profile accounts, diplomatically troubleshooting problems, and

delivering comprehensive training programs.

Build strong relationships with existing accounts, providing services

when necessary.

Serve as liaison between customers and management in order to relay

customer issues to the correct department and track progress of

resolution.

Managing the production of marketing materials, including leaflets,

posters, flyers and newsletters.

Work directly with sr. level technical staff to prepare proposal

materials, including writing, editing, verifying and formatting proposal

information.

KNOWLEDGE AND SKILLS

Revenue Cycle -Patient Accounting System.(Cerner- International Healthcare Information System )

Knowledge of Current Procedure Codes (CPT), International Class of Diseases Codes (ICD9, 10), Diagnosis Related Group Codes (DRGs) and CDM utilized in medical billing.

Familiarity with HCPCS, hospital and Professional Billing Knowledge of Medical terminology utilized in medical billing;

current office practices and procedures; and basic math. Knowledge about Insurance Policies and process of the Insurance

companies which are contracted to SEHA. Great Plains Billing Software. MS office(Word, Excel ,PowerPoint ,outlook)

ACADEMIC QUAL I F I C A T I ON

Graduation [2006-2009]: Bachelor of Commerce (C.A), Bharathiar University, India.

Senior School [2004-2006]: Completed Higher Secondary School at Asian

International School - Abu Dhabi, UAE.

High School [2004]: Completed High School at Asian International School –

Abu Dhabi, UAE

REFERENCES – Available on request