Matheen Ahmed
Bangalore
Summary
Detail-oriented professional with expertise in insurance verification, regulatory compliance, and quality assurance. Proven ability to streamline processes and enhance data management to ensure optimal patient care and program efficiency. Focused Program Specialist with strong skills in technical support, documentation management, and data analysis. Successfully coordinated program activities to ensure compliance and improved workflow efficiency, driving significant enhancements in operational processes. Methodical Program Coordinator offers internal document creation, program management, and project implementation expertise paired with outstanding time management and multitasking abilities. Resourceful and versatile professional with many years of experience developing and coordinating programs. Proactive professional with a solid background in healthcare documentation and quality assurance. Known for strong analytical skills and effective communication, contributing to compliance with regulatory standards and improved patient outcomes. Energetic professional equipped to handle demanding workloads covering regular and special events programming. Works smoothly at all levels to meet creative, technical and operational goals. Excels at promotions and materials management. Resourceful Program Specialist known for high productivity and efficient task completion. Possess specialized skills in project management, strategic planning, and stakeholder engagement. Excel in communication, problem-solving, and teamwork, ensuring successful program outcomes.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Program Specialist
Neovance India Pharmaceutical Limited
Bangalore
03.2019 - Current
- Quickly and efficiently respond to incoming faxes, identify how best to assist.
- Conduct insurance verifications to understand if patient’s prescribed therapy is eligible for coverage. Document results in appropriate tracking system.
- Process patient applications and follow the program's specifications to determine their eligibility. Document results in appropriate tracking system and manage follow ups as appropriate.
- Maintain a professional, calm and friendly demeanor. Express thoughts and instructions clearly in both verbal and written communication; i.e. uses grammatically correct and concise language.
- Coordinated program activities to ensure compliance with regulatory standards.
- Participated in team-building exercises that fostered collaboration among staff members working on the project.
- Provided technical support to staff members regarding the use of software programs related to the project.
- Identified opportunities for improvements in existing processes or policies related to program operations.
Health Care Document Analyst
MModal Global Services
Bangalore
12.2014 - 03.2019
- Analyzed and reviewed medical documentation for accuracy and compliance.
- Preparing quality report to customer satisfaction i.e. 100% accuracy under HIPPA rules. Participating in feedback sessions by sharing our experience in quality, quantity, and any changes required in the software.
- Editing and correcting medical dictation performed by speech recognition software and converting transcribed diagnostic test results, procedures, and consultation notes into applicable report formats.
- Ensuring uncompromised patient care by transcribing fast and accurately, as well as performing thorough editing and typing out the full forms of medical abbreviations and acronyms, as well as the formal versions of medical jargon.
- Performing additional tasks such as following up and revising patient history, as well as entering medical reports into electronic health records systems. Protecting patient confidentiality and adhering to legal requirements.
- Conducted audits on completed documents for quality assurance purposes.
- Maintained up-to-date knowledge of regulatory changes affecting documentation practices.
- Implemented security measures to protect confidential information within documents.
- Verified accuracy of data entered into databases by cross-referencing source documents.
- Ensured compliance with applicable laws governing document retention.
Administrative Co-ordinator
RAJU ACADEMY
Bangalore
08.2010 - 05.2014
- Coordinated daily administrative tasks and ensured efficient office operations.
- Managed scheduling for staff meetings and academic events at the academy.
- Assisted in developing training materials for new employees and students.
- Maintained student records and updated databases with accuracy and attention.
- Communicated with parents, students, and staff to address inquiries promptly.
- Implemented office procedures to improve workflow efficiency within the team.
- Provided administrative support to various departments within the organization.
- Organized and maintained filing systems for sensitive documents.
- Ordered office supplies as needed to maintain adequate inventory levels.
- Responded to customer inquiries via phone or email in a professional manner.
- Answered phone calls, provided information and connected callers to appropriate personnel.
- Maintained accurate records of employee attendance, vacation requests, absences.
- Developed successful filing system to increase ability to retain and recover documents, reports and records.
- Scheduled travel arrangements for business trips, conferences, and other events.
- Made copies, sent faxes and handled all incoming and outgoing correspondence.
Education
MBA - Computer And Information Systems
Vinayaka Missions University
Bangalore01-2010
Bachelor of Science - Computer Science
Vinayaka Missions University
Bangalore01-2007
High School Diploma -
Viswa Bharathi University
Bangalore01-2004
Sri Raghavendra English High School
Bangalore01-2002
Skills
- Insurance verification
- Patient eligibility
- Regulatory compliance
- Data analysis
- Quality assurance
- Documentation management
- Health care policies
- Technical support
- Data management
- Process improvements
- Office administration
- Medical documentation
- Data entry accuracy
- Patient confidentiality
- Administrative support
- Effective communication
- Problem solving
- Team collaboration
Certification
- Anti Bribary Policy
- Prevention of Sexual Harressment (POSH)
- Consumer Privacy Training
- Reporting Adverse Events and Product Complaints
- Refresher Privacy Training
Languages
English
First Language
English
Advanced (C1)
C1
Kannada
Advanced (C1)
C1
Hindi
Advanced (C1)
C1
Telugu
Advanced (C1)
C1
Tamil
Beginner (A1)
A1
Urdu
Intermediate (B1)
B1
Accomplishments
- With over 10 years of experience in the industry, I have been appointed as a member of the Culture Committee at Neovance India Pharmaceuticals Private Limited.
References
References available upon request.
Timeline
Program Specialist
Neovance India Pharmaceutical Limited
03.2019 - Current
Health Care Document Analyst
MModal Global Services
12.2014 - 03.2019
Administrative Co-ordinator
RAJU ACADEMY
08.2010 - 05.2014
MBA - Computer And Information Systems
Vinayaka Missions University
Bachelor of Science - Computer Science
Vinayaka Missions University
High School Diploma -
Viswa Bharathi University
Sri Raghavendra English High School
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