Rohit Kashyap
Healthcare Insurance Officer
Ferozepur
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Hardworking and passionate job seeker with strong organizational skills eager to secure position. Ready to help team achieve company goals.
Overview
12
12
years of professional experience
Work History
Team Leader Pre Authorisation
Affiya Billing LLC
Dubai
08.2019 - 02.2022
- Instructed junior team members on protocols and procedures of each to maximize contributions.
- Trained new team members by relaying information on insurance company polices and procedures.
- Processed incoming Commercial and Medicaid Prior Authorization request via phone and fax.
- Advised Pharmacies and Providers of policy holder benefits.
- Processed Pharmacy claim rejections.
- Answered incoming Pharmacy helpdesk inquiries.
- Verified patient insurance coverage, determines eligibility and benefits.
- Provided excellent customer service to both internal and external customers.
- handling team and escalations.
- Managing team of 8 members
- attending meetings with provider and insurance companies on weekly or monthly bases.
- Identified issues, analyzed information and provided solutions to problems.
- Learned new skills and applied to daily tasks to improve efficiency and productivity.
- Participated in continuous improvement by generating suggestions, engaging in problem-solving activities to support teamwork.
- attending meetings with provider and insurance companies on weekly or monthly bases.
Approval Doctor Pre Authorisation
Insurance, Aafiya Billing LLC
Dubai
09.2017 - 07.2019
- Giving Pre approval for the IPD OPD and Pharmacy claims
- Developed and implemented performance improvement strategies and plans to promote continuous improvement.
- Created plans and communicated deadlines to complete projects on time.
- Exceeded goals through effective task prioritization and great work ethic.
- Worked flexible hours across night, weekend and holiday shifts.
- Resolved conflicts and negotiated mutually beneficial agreements between parties.
- Worked with customers to understand needs and provide excellent service.
- Collaborated with team members to achieve target results.
- Learned new skills and applied to daily tasks to improve efficiency and productivity.
Medical officer
Frances Newton Hospital
Ferozpur
01.2017 - 08.2017
- Improved patient outcomes and delivery of care through improved clinical quality processes.
- Led diverse team of medical and administrative professionals in day-to-day clinic activities such as patient care, new business development and patient relations.
- Interpreted diagnostic test results for deviations from normal.
- Completed patient referrals to other medical specialists.
- Verified complex diagnoses to facilitate treatment plans.
- Directed and coordinated patient care activities of nursing and support staff.
- Ordered medical and laboratory supplies and equipment.
- Assisted senior physicians and surgeons during assessments, examinations and surgical interventions.
- Reviewed and evaluated test results to suggest care and treatment options.
- Communicated with patients, ensuring that medical information was kept private.
Physician Assistant and Insurance Coordinator
Fortis Escort Hospital
Amritsar
08.2014 - 10.2016
- Used intake and screening instruments to conduct assessment of needs and to obtain complete medical history.
- Collaborated with medical colleagues to offer clinical care management, patient education and medical services.
- Educated patients and families on correct administration of pain medications to avoid adverse reactions and over-use.
- Conducted advanced procedures such as intubations and central line insertions in emergency care situation.
- Coordinated admissions and transfers in collaboration with supervising attending physician.
- Referred to and consulted with physicians and other healthcare providers on patient care.
- Reviewed patient allergies, problems, medications and immunization statuses.
- Oversaw continuity of care for 6 ventilator-dependent patients.
- Admitted and treated patients as part of hospital's 24-hour on-call services.
- Filed and tracked insurance claims and communicated claims status to patients.
- Prepared insurance claims for submission to clearinghouses or insurance companies.
- Reviewed accounts receivable reports, insurance contracts and weekly and monthly financial reports.
- Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.
- Obtained prior authorization and precertification for outpatient procedures.
- Verified insurance and communicated coverage to staff and patients.
- Carried out administrative tasks by communicating with clients, distributing mail and scanning documents.
- Achieved revenue goals by managing collections and accounts receivables, referral process and insurance billing.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Checked documentation for accuracy and validity on updated systems.
- Coordinated with contracting department to resolve payer issues.
- Modified, updated and processed existing policies.
Medical officer
Preet Hospital
Amritsar
06.2012 - 08.2015
- Improved patient outcomes and delivery of care through improved clinical quality processes.
- Led diverse team of medical and administrative professionals in day-to-day clinic activities such as patient care, new business development and patient relations.
- Interpreted diagnostic test results for deviations from normal.
- Completed patient referrals to other medical specialists.
- Verified complex diagnoses to facilitate treatment plans.
- Directed and coordinated patient care activities of nursing and support staff.
- Ordered medical and laboratory supplies and equipment.
- Assisted senior physicians and surgeons during assessments, examinations and surgical interventions.
- Trained and supervised medical students and residents engaged in special activities and procedures.
- Communicated with patients, ensuring that medical information was kept private.
- Scheduled surgeries, managed pre-certifications and verified insurance coverage.
Medical Intern
Shree Lakshmi Narayan Ayurveda College Amritsar
Amritsar
10.2011 - 10.2012
- Wrote detailed and professional progress notes for each patient, outlining notable events and examinations findings.
- Completed daily rounds to check on patients and identify any reasons for concern.
- Assisted patient medication administrations using various methods such as intravenous, intramuscular, oral, subcutaneous and pulmonary.
- Collected labs and test results on patients.
Medical Officer
Shoor Multi-Super speciality Hospital
Amritsar
06.2011 - 07.2012
- Improved patient outcomes and delivery of care through improved clinical quality processes.
- Led diverse team of medical and administrative professionals in day-to-day clinic activities such as patient care, new business development and patient relations.
- Applied continuous process improvement strategies to enhance case management, programs and clinical management.
- Guided industry experts and stakeholders within FDA on clinical issues and clinical trial designs.
- Ordered medical and laboratory supplies and equipment.
- Verified complex diagnoses to facilitate treatment plans.
- Directed and coordinated patient care activities of nursing and support staff.
- Discussed medical histories with patients in effort to provide most effective medical advice.
- Scheduled surgeries, managed pre-certifications and verified insurance coverage.
- Reviewed and evaluated test results to suggest care and treatment options.
Education
B.A.M.S ‘12 -
BABA FARID UNIVERSITY
12th - undefined
R.S.D Hr. Sec School
10th - undefined
St. Joseph Convent School
DISTINCTIONS - undefined
Certificate of Participation Project AXSHYA – Urban TB Intervention. - undefined
Skills
Team leadership and coaching
undefinedAccomplishments
- Achievement-oriented, compassionate professional with 8+ years’ experience in varied and fast-paced healthcare settings
- Adaptable leader who is familiar with the integration of new healthcare delivery systems, restructuring of work in a challenging and sophisticated regulatory environment.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Team Leader Pre Authorisation
Affiya Billing LLC
08.2019 - 02.2022
Approval Doctor Pre Authorisation
Insurance, Aafiya Billing LLC
09.2017 - 07.2019
Medical officer
Frances Newton Hospital
01.2017 - 08.2017
Physician Assistant and Insurance Coordinator
Fortis Escort Hospital
08.2014 - 10.2016
Medical officer
Preet Hospital
06.2012 - 08.2015
Medical Intern
Shree Lakshmi Narayan Ayurveda College Amritsar
10.2011 - 10.2012
Medical Officer
Shoor Multi-Super speciality Hospital
06.2011 - 07.2012
B.A.M.S ‘12 -
BABA FARID UNIVERSITY
12th - undefined
R.S.D Hr. Sec School
10th - undefined
St. Joseph Convent School
DISTINCTIONS - undefined
Certificate of Participation Project AXSHYA – Urban TB Intervention. - undefined
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