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
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 -
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