MOHAMED ARIF
DUBAI
Summary
I am a detail-oriented professional with over 13 years of experience as an insurance coordinator. My expertise includes generating sales reports, and reconciling insurance receivables. In my role, I have demonstrated exceptional decision-making, communication, and multi-tasking abilities, all complemented by expert knowledge in Excel. I have successfully managed a group of clinics and pharmacies. I would love to discuss how my skills and experiences align with potential opportunities within your organization.
Overview
14
14
years of professional experience
Work History
Sr. Insurance Receivable Officer
Valiant Clinic & Hospital
05.2025 - Current
- Reconciliation RCM reports on weekly basis.
- Generating the Doctors revenue report on monthly basis.
- Regularly email follow up for an outstanding with 100% accuracy backdated claims
- Allocating internal software application with DHPO submissions.
- Consolidation RCM report between internal software & E-claims.
- Allocation the Bank received amount between Old & New Management.
- Generating the claims between old & New Management to the owners.
- Upload Remittance on daily basis and knocking between the submissions.
- Regularly follow up on payment collections.
Sr. Insurance Coordinator
VIVA PHARMACY GROUP
05.2021 - 04.2025
- Empanel all Insurance for the entire group.
- Handling a Team of 15 branches.
- Presentation of the reports of submissions & Remittance for weekly/ Monthly & Yearly basis.
- Control the rejections with less than 2%.
- Consult with management to develop long-term commercial plans to increase insurance sales.
- Focusing on outstanding & pending Payments to send email periodically with insurance companies.
- Maintain the receivables of remittance regularly receiving on time.
- Educating front desk to avoid basic eligibility rejections
- Notify the denial and fix the issue to avoid further.
- Minimize the rejections & streamlined the insurance payments
- Ensured timely preparation of reports for management review.
Sr. Insurance Coordinator & Assistant IT Support
RIGHT HEALTH GROUP
03.2016 - 06.2020
- Periodically generating the report of insurance-wise major volume.
- Handling the team to complete the production on TAT.
- Educating front desk on regular basis to avoid initial level of rejections.
- XML file validation error, Rectification & modification the xml file
- Analyze the denial report to the team & give solution to overcome.
- IT Support: Internal Software Applications:
- OS & Printer Installation.
- Add/Modify remove CPT & DDC codes.
- Formulary Drug list update in the applications.
- Pilot Batch -Implementation of internal application for all the branches.
- Laboratory and radiology codes price update as per the clinic.
- Software training for new comers & Doctors.
- Dental Service codes and price list updating.
- Handling petty cash to purchase IT support accessories.
Sr. Accounts Receivable Analyst
Access HealthCare Pvt Ltd
03.2015 - 11.2016
- Periodically submitting claims
- To call American medical Insurance company to get payment status from the insurance
- Payment collection reports on monthly basis
- Bank statement & cheque details verifications
- Generating the weekly report
- Claim Appeal status.
- Working on Denial management.
- Team meeting on weekly basis to discuss about the targets and issues to be fix for the following weeks.
Senior Accounts Receivable
Saicle One Solution PVT Ltd
03.2013 - 03.2015
- To call insurance and get the valid denial reason
- Need to solve the denials and to get payment from the insurance company
- Eligibility Verification
- Claims appeal process after rejections.
- Claim Status.
Jr. Executive Receivable
E4E Healthcare PVT Ltd
03.2012 - 02.2013
- To call insurance and get the Claim status
- Eligibility Verification
- Cheque details verification
- Need to update the Patient detail information.
- Adjudication of payment posting.
Education
Bsc - Computer Science
St. Joseph College of Arts & Science
04.2006
Commerce - undefined
John Dewey Higher Sec School
04.2003
Skills
- Expert knowledge in Excel
- Smart idea & creative spirit
- Reconcile insurance receivables
Languages
Tamil Native
English Fluent
Interests
Watching GEO politics, Science behind Universe
Timeline
Sr. Insurance Receivable Officer
Valiant Clinic & Hospital
05.2025 - Current
Sr. Insurance Coordinator
VIVA PHARMACY GROUP
05.2021 - 04.2025
Sr. Insurance Coordinator & Assistant IT Support
RIGHT HEALTH GROUP
03.2016 - 06.2020
Sr. Accounts Receivable Analyst
Access HealthCare Pvt Ltd
03.2015 - 11.2016
Senior Accounts Receivable
Saicle One Solution PVT Ltd
03.2013 - 03.2015
Jr. Executive Receivable
E4E Healthcare PVT Ltd
03.2012 - 02.2013
Commerce - undefined
John Dewey Higher Sec School
Bsc - Computer Science
St. Joseph College of Arts & Science