Vikas Nijhawan
Medical Officer
Rohtak
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
19
19
years of professional experience
3
3
Languages
Work History
Senior Drug Safety Associate
Pharmalex (Cencora)
05.2021 - Current
- Navigated intricacies of drug safety databases to process adverse event reports.
- Incorporated varying medical philosophies and idiosyncrasies of health care delivery to generate global reports.
- Communicated with internal or external contacts to resolve issues related to case processing.
- Maintained awareness of performance metrics to remain within established limits.
- Leveraged AB Cube, Aris Global: ARISg/LifeSphere Safety and Sapphire database to enter and process alphanumeric data with accuracy.
- Reviewed ancillary documentation to identify information for processing and electronic capture.
- Gathered and evaluated quality assurance data to identify issues and improve process efficiency.
- To provide medical expertise and judgment throughout the case processing with review of individual cases.
- To ensure appropriate capturing and coding of adverse events from the source document.
- To resolve queries related to drug coding and AE coding
- To provide missing causality for solicited cases
- To provide seriousness assessment
- Assisting data migration from one safety database to another
Senior Claims Associate
Exlservice.com
12.2019 - 05.2021
- Managed claims, subrogation, liability reserve setting, negotiating and liability litigation support.
- Documented information gathered in field and uploaded data to company database for efficient processing using Medconnection.
- Examined reports, accounts, and evidence to determine integrity and accuracy of information.
- Evaluated original investigation reports and documents to resolve secondary concerns.· Document management and classification
- Data conversion: Transforms images to machine readable text
- Document analysis: Identifies all relevant data, highlights and tags red flag content
Medical Records Abstractor
Exlservice.com
03.2018 - 03.2019
- Processed medical records requests from outside providers according to facility, state, and federal law.
- Maintained patient confidence by keeping patient records information confidential.
- Scanned medical records in digital format for easy retrieval and accessibility.
- Developed and maintained organized filing system for medical records to adhere to HIPAA regulations.
- Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations.
- Assisted in preparation of medical records to release to other medical facilities requesting for patient history and information.
- Maintained patient records systems by archiving, scaning and indexing important documents and files.
- Identified new methods to optimize medical records management.
- Transcribed and entered patient medical information into electronic medical records systems.
- Utilized electronic medical record systems to store, retrieve and process patient data.· Case Study Analysis of Cancer treatments to aid in strategy development of treatments and increase efficacy of treatments.
- Work on raw oncology data and convert it into useful information for Healthcare.
- Abstracting investigational cancer regimes.
- Analyzing outcome of regimes administered, toxicity, progression and other interventions.
Assistant Claims Manager
HDFC ERGO General Insurance Company
10.2015 - 05.2017
- Processed high volumes of medical claims accurately and efficiently under tight deadlines, ensuring prompt payment for services rendered.
- Determined proper course of action for claims processing.
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements..
- Paid or denied medical claims based upon established claims processing criteria.
- Mastered various proprietary claim processing systems quickly allowing seamless adaptation to new technology initiatives within the organization.
- Expedited claim resolution times with proactive communication between patients, providers, and insurance companies.
- Utilized advanced knowledge of ICD-10 codes to accurately process complex medical claims
Senior Associate
Exlservice.com
12.2011 - 10.2015
- Maintained patient records in compliance with security regulations.
- Processed medical records requests from outside providers according to facility, state, and federal law.
- Uploaded physician progress notes, history, and physicals into electronic medical records.
- Maintained patient confidence by keeping patient records information confidential.
- Scanned medical records in digital format for easy retrieval and accessibility.
- Developed and maintained organized filing system for medical records to adhere to HIPAA regulations.
- Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations.
- Analyzed complex medical records to identify discrepancies in accuracy and completeness.
- Assisted in preparation of medical records to release to other medical facilities requesting for patient history and information.
- Input data into computer programs and filing systems.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Transcribed and entered patient medical information into electronic medical records systems.
- Developed and implemented new filing system for medical records to improve efficiency.
- · Medical Record summarization.
General Medical Practitioner
Lifeline Clinic
04.2006 - 11.2011
- Prescribed and administered medication, therapy and treatment to prevent and treat illness, injury and disease.
- Ordered x-rays, ultrasounds and laboratory tests.
- Developed, implemented, evaluated and altered plans of care for patients.
- Monitored patients' conditions and progress to evaluate treatment efficacy.
- Advised patients about diet and hygiene to prevent disease.
- Volunteered at community health clinic to provide high quality care for low-income and indigent patients.
- Diagnosed and treated patients suffering from chronic conditions.
- Manage Dispensary and Clinic
- Organized Health Camps in both Urban and Village Set ups.
Teacher
Indian Institute Of Medical Representatives
04.2005 - 04.2006
- To provide adequate knowledge (Anatomy, Physiology, Pharmacology) and coaching to the students, take examination and mock interviews.
- Preparing Non Medical Candidates to work as Medical Representatives in Pharmaceutical Companies.
Education
Bachelor of Ayurvedic Medicine And Surgery (BAMS) - Ayurvedic Medicine
Maharshi Dayanand University
Rohtak 04.2001 -
MBA - Marketing & Human Resource
Punjab Technical University
Jalandhar 04.2001 -
Certificate Clinical Research And Data Management - Clinical Research And Clinical Data Management
Pune University
Pune 04.2001 -
Skills
Conflict Resolution Techniques
First Aid/CPR
Team Management
Client Relationship Management
Claims Processing
Policy Regulations Knowledge
Microsoft Office
Medical Record Auditing
Medical Billing
Medical Terminology
Medical Records Management
Claims Review
Transactions Reconciliation
Data Entry Proficiency
Claim Amount Calculations
Insurance Claim Forms Review
Small Claims Payouts
Skilled in ABcube, ArisG and Sapphire
Safety Compliance
Data Capture and Analysis
Data Interpretation
Adaptability and Flexibility
Organization and Time Management
Intramuscular Injection
EMR Systems
MEDITECH EHR Software
Patient Diagnosis
Clinical Assessment
Treatment Administration
Urgent Care Assessment
IV Therapy
Electronic Medical Record Software
Client Education
Test Results Interpretation
Report Writing
Project Monitoring
Interdepartmental Communication
Patient-Focused Care
Project Management Abilities
Claim investigation
Medical coding knowledge
Adverse event reporting
ICH-GCP guidelines familiarity
Signal detection proficiency
Medical writing aptitude
Clinical trial experience
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
It is never too late to be what you might have been.
George Eliot
Timeline
Senior Drug Safety Associate
Pharmalex (Cencora)
05.2021 - Current
Senior Claims Associate
Exlservice.com
12.2019 - 05.2021
Medical Records Abstractor
Exlservice.com
03.2018 - 03.2019
Assistant Claims Manager
HDFC ERGO General Insurance Company
10.2015 - 05.2017
Senior Associate
Exlservice.com
12.2011 - 10.2015
General Medical Practitioner
Lifeline Clinic
04.2006 - 11.2011
Teacher
Indian Institute Of Medical Representatives
04.2005 - 04.2006
Bachelor of Ayurvedic Medicine And Surgery (BAMS) - Ayurvedic Medicine
Maharshi Dayanand University
04.2001 -
MBA - Marketing & Human Resource
Punjab Technical University
04.2001 -
Certificate Clinical Research And Data Management - Clinical Research And Clinical Data Management
Pune University
04.2001 -