ANU MATHEW
INSURANCE INCHARGE
Kottayam
Summary
Senior Insurance Coordinator, Counsellor & Public relation officer coordinating health insurance claims, government scheme compliance, and patient counseling across hospital workflows. Resolves billing discrepancies, negotiates with third-party payers, and supports communication strategies that strengthen the hospital’s public image. Delivers smoother patient service through accurate claims handling, denial reduction, and empathetic support.
Overview
4
4
Languages
13
13
years of professional experience
Work History
INSURANCE INCHARGE
Caritas Hospital (SEVEN SIGMA CO-OPARATIVE COMPANEY)
03.2026 - Current
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Excellent communication skills, both verbal and written.
- claim processing :verified patient eligibility, processed insurance claims, and ensured timely submission to ECHS authorities, reducing delays in reimbursements
- documentation management: maintained accurate records of medical bills, prescriptions , and supporting documents, streamlining reimbursement workflows.
- policy compliance :ensured strict adherence to ECHS guidelines and government regulations,minimizing claims rejections.
- patient assistance :guided ex-servicemen and dependents through insurance procedures, clearly explaining coverage and claim requirements to improve patient satisfaction
Senior Insurance Coordinator, Counsellor & Public relation officer
Tectona Eye Hospital
10.2022 - 05.2025
- Spearheaded the onboarding of new health insurance companies, ensuring seamless integration and minimizing disruption to patient services.
- Oversaw the management of government insurance schemes, ensuring 100% compliance and efficient claims processing.
- Collaborated with the Public Relations department to develop and implement communication strategies that enhanced the organization’s public image.
- Provided specialized counseling services to ophthalmology patients, addressing their concerns with empathy and achieving a 95% patient satisfaction rate.
- Maintained efficient daily functioning of the department, consistently exceeding service delivery standards.
- Resolved billing discrepancies by negotiating with third-party payers, resulting in a 15% reduction in outstanding claims.
- Interfaced with insurance carriers and healthcare providers to ensure accurate claims processing and payment resolution, reducing claim denial rates by 10%.
- Supported the medical office in achieving its mission by streamlining processes and contributing to a 20% increase in operational efficiency.
Insurance Coordinator And Pro
Noor Institute Of Medical Specialities-wandoor
03.2022 - 08.2022
- Led the integration of new health insurance companies, ensuring smooth setup and compliance, resulting in zero compliance violations.
- Managed processes and claims under government insurance schemes to ensure effective coverage, achieving a 98% approval rate for eligible claims.
- Collaborated with the Public Relations department for smooth communication and coordination, contributing to a 25% increase in positive media coverage.
- Provided counseling services in general, gynecology, and surgery-related cases, addressing patient concerns effectively and improving patient satisfaction scores by 20%.
- Maintained efficient daily functioning of the department, consistently meeting or exceeding service quality targets.
- Resolved billing issues by discussing contracts with third-party payers, explaining insurance terms to patients, and negotiating settlements, recovering an average of $5,000 per month in previously denied claims.
- Interfaced with insurance carriers and healthcare providers to resolve claims and ensure proper processing, reducing claim processing time by 15%.
IP Biller & Insurance Coordinator
Ahalia Hospital
03.2013 - 08.2016
- Verified insurance eligibility through phone calls and research, ensuring accurate billing and minimizing claim denials.
- Maintained patient confidentiality and data security in accordance with HIPAA regulations.
- Executed billing tasks and recorded information in company databases, ensuring data integrity and accuracy.
- Identified, researched, and resolved billing variances, maintaining system accuracy and currency, and recovering $2,000 in previously unidentified revenue.
- Determined proper codes for medical records and patient services, ensuring accurate billing and compliance.
- Provided exceptional customer service in handling billing inquiries, resolving disputes promptly and professionally, achieving a 90% customer satisfaction rating.
- Conducted regular audits of billing records, identifying issues and implementing corrective actions, reducing billing errors by 10%.
Counselor (Eye Section)
Ahalia Hospital
- Assisted clients in setting realistic goals, developing action plans, and monitoring progress, leading to a 75% success rate in achieving client-defined goals.
- Maintained accurate documentation of client interactions, assessments, and progress notes for effective case management and compliance.
- Educated clients on available community resources, fostering a sense of empowerment and self-sufficiency, resulting in a 60% increase in client utilization of community support services.
- Improved client satisfaction through consistent communication, empathy, and understanding of their unique challenges, achieving a 95% client satisfaction rating.
- Guided clients in developing skills and strategies for dealing with problems, leading to a measurable improvement in clients' coping mechanisms.
Education
MSW - Medical & Psychiatry
01-2012
BA - Economics
01-2010
Higher Secondary - undefined
01-2007
Secondary - undefined
01-2005
Skills
Insurance claim management
Billing & claims resolution
Claims denial management
Eligibility verification
Accounts receivable reconciliation
Regulatory compliance
Stakeholder relationship management
Government insurance program administration
Patient counseling & support
Claims documentation
DISCLAIMER
I hereby declare that the above written particulars are true and correct to the best of my knowledge and belie.
Timeline
INSURANCE INCHARGE - Caritas Hospital (SEVEN SIGMA CO-OPARATIVE COMPANEY)
03.2026 - Current
Senior Insurance Coordinator, Counsellor & Public relation officer - Tectona Eye Hospital
10.2022 - 05.2025
Insurance Coordinator And Pro - Noor Institute Of Medical Specialities-wandoor
03.2022 - 08.2022
IP Biller & Insurance Coordinator - Ahalia Hospital
03.2013 - 08.2016
Board of Public Examination, Kerala - Secondary,
Board of Higher Secondary Examination, Kerala - Higher Secondary,
Mahatma Gandhi University - BA, Economics
Counselor (Eye Section) - Ahalia Hospital
Mahatma Gandhi University - MSW, Medical & Psychiatry