Dr. Poornima S
Dental Surgeon
Madipakkam, Chennai
Summary
Proactive Assistant General Manager with expertise in medical insurance claims management and dental care, building teams and equipping employees with skills to independently handle business needs. Offers progressive experience combined with sound judgement and good problem-solving abilities. Strong record of surpassing organizational goals.
Overview
16
16
years of professional experience
Work History
Assistant General Manager
Star Health And Allied Insurance Co Ltd
11.2011 - Current
- Specialized in Insurance Claim Processing and Review of Cases.
- Provide Expert guidance on insurance coverage and claims management.
- Analyze the hospital documents for overcharging, abuse of drugs and fabrication of medical documents.
- Appropriate and accurate coding of medical documents.
- Train the new medical Claim processor in all aspects of job.
- Monitoring claims /transaction records, compare hospital documents and and analyzing for frauds.
- Investigate the claim to ensure it is accurate and true.
- Auditing for overpayments.
- Analyze the customer data to identify areas of improvement in Claims processes.
Dental Surgeon
Sri Velmurugan Dental Clinic
06.2008 - 09.2011
- Providing Comprehensive Dental Care to patients.
- Conducting dental surgeries and performed restorative procedures.
- Diagnosing oral diseases and development treatment plans.
Education
Bachelor of Dental Surgery - Dentistry
SRM Institute of Medical Sciences
Chennai 04.2001 -
HSC
Rajkumar Sulochana Matric Higher Sec School
Chennai 04.2001 -
Skills
- In depth Knowledge of Medical Terminology
- Organizational and time management abilities
- Claims processing and review
- Auditing of Medical Claims
- Strategic planning skill
- Employee Relations
- Business operations knowledge
- Workflow Coordination
- Employee Scheduling
- Resource Allocation
- Attention to Detail
- Ensuring efficient handling of claims and prompt customer service
Timeline
Assistant General Manager
Star Health And Allied Insurance Co Ltd
11.2011 - Current
Dental Surgeon
Sri Velmurugan Dental Clinic
06.2008 - 09.2011
Bachelor of Dental Surgery - Dentistry
SRM Institute of Medical Sciences
04.2001 -
HSC
Rajkumar Sulochana Matric Higher Sec School
04.2001 -
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