Dr G Rahima Fathima
Chennai
Summary
With a strong interest in the field of clinical research, I am seeking a position with a highly esteemed company that provides a platform for utilizing my expertise and skills for mutual growth and benefit.
Overview
10
10
years of professional experience
4
4
Languages
Work History
Medical Officer in Claim Processing
Medi Assist
01.2016 - 01.2017
Assistant Manager in Reimbursement Department
MD India Pvt ltd.
01.2014 - 01.2015
Assistant Manager in Reimbursement Department
STAR HEALTH INSURANCE PVT LTD
01.2013 - 01.2014
OP Doctor in O.G Department
Life Care D.K.J Hospital
01.2012 - 01.2013
Duty Medical Officer
Bilroth Hospital
01.2009 - 01.2012
Doctor
EESA Charitable Trust and Clinic
01.2008 - 01.2009
Doctor
V.K Hospital
01.2007 - 01.2008
Education
Bachelors - Unani Medicine and Surgery
Skills
- Proficient in Unani Medicine principles
- Strong knowledge of anatomy
- Strong knowledge of physiology
- Strong knowledge of pathology
- Excellent clinical skills
- Competent in using medical equipment
- Good communication skills
- Good interpersonal skills
- Strong organizational abilities
- Strong time management abilities
- Ability to prescribe appropriate medications
- Ability to monitor patient progress
- Ability to adjust treatment plans
- Ability to counsel patients on healthy lifestyle habits
Healthcare management
Case management
Professional Experience
- Processed and evaluated medical claims for accuracy and adherence to policy guidelines
- Reviewed medical documentation and conducted thorough investigations to determine claim validity
- Collaborated with healthcare providers to obtain additional information and clarify claim details
- Analyzed medical reports, laboratory results, and diagnostic tests to assess claim authenticity
- Assisted in the development and implementation of claims processing policies and procedures
- Provided guidance and support to the claims team regarding medical terminology and procedures
- Maintained accurate records of claims, correspondence, and relevant documentation
- Collaborated with internal departments to resolve complex claim issues and ensure prompt resolution
Internship Details
- 5 months, Kilpauk Medical College & Hospital, Chennai
- 5 months, Aringner Anna Medical College, Arumbakkam, Chennai
- 2 months, PHC
Timeline
Medical Officer in Claim Processing
Medi Assist
01.2016 - 01.2017
Assistant Manager in Reimbursement Department
MD India Pvt ltd.
01.2014 - 01.2015
Assistant Manager in Reimbursement Department
STAR HEALTH INSURANCE PVT LTD
01.2013 - 01.2014
OP Doctor in O.G Department
Life Care D.K.J Hospital
01.2012 - 01.2013
Duty Medical Officer
Bilroth Hospital
01.2009 - 01.2012
Doctor
EESA Charitable Trust and Clinic
01.2008 - 01.2009
Doctor
V.K Hospital
01.2007 - 01.2008
Bachelors - Unani Medicine and Surgery
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