Iren G Babu
Insurance Coordinator & Medical Coder
Doha,QATAR
Summary
Highly efficient Medical Coder and Quality Claims Analyst with excellent people skills and dedicated work ethic. Strong attention to detail, excellent multitasker, and demonstrated team player with a positive attitude.
Overview
8
8
years of professional experience
6073
6073
years of post-secondary education
4
4
Languages
Work History
Team Lead- Insurance Dept and Medical Coding
Crown Medical Center
03.2024 - Current
- Handled monthly payment updates for insurance companies, Updated accounts receivable (AR) and provided collection forecasts for management reporting.
- Collaborated with other departments, such as billing and clinical teams, to ensure accurate documentation and coding.
- Handled approval, submission, and resubmission of monthly claims, with a focus on Globemed and Alkoot., Lead and managed a team of medical coders, ensuring accurate and timely coding of medical records.
- Participated meetings with the Medical Director to discuss matters with insurance companies.
- Acted as the primary point of contact for all insurance-related matters concerning the center.
- Facilitated training sessions and workshops to keep the team updated on new coding practices and changes in healthcare regulations.
Claim Processor & Medical Coder
American Hospital
DOHA, QATAR
08.2022 - 02.2024
- Processing the claims by reviewing and encoding the data to MDS/ excel format provided by insurance companies after a thorough study of medical records of Al Koot, Globemed & QLM.
- Review the medical records, identify the diagnosis codes, and convert them to ICD-10-CM/ AM codes by following CMS guidelines.
- Submission of monthly claims to concerned insurance companies, primarily with Alkoot Insurance and reinsurance company.
- Have experience in prior approvals by contacting concerned insurance companies through concerned portals.
- Researches and resolves insurance billing issues, and study insurance plans used most frequently with patients.
Insurance Coordinator & Medical Coder
Abeer Medical Center
DOHA, QATAR
12.2021 - 04.2022
- Handling Pre Approvals from different Insurance Companies
- Capable of taking prior authorization from QLM, Alkoot, MetLife, Allianz, Bupa, Cigma, Globemed, Nextcare, Axa
- Part-time coding of QLM & Globemed
- Processing the claims by reviewing and encoding the data to MDS/ excel format provided by insurance companies after a thorough study of medical records of Al Koot, Globemed & QLM
- Review the medical records, identify the diagnosis codes, and convert them to ICD-10-CM/ AM codes by following CMS guidelines
- Submission of monthly claims to concerned insurance companies, primarily with Alkoot Insurance and reinsurance company
- Have experience in prior approvals by contacting concerned insurance companies through concerned portals
- Researches and resolves insurance billing issues, and study insurance plans used most frequently with patients
Medical Coding Trainer
Medco Global Learning Solutions-India
03.2021 - 12.2021
- Worked as a tutor in ICD-10 CM,CPT,HCPCS
Claim Processor & Medical Coder
Seha Technologies Pvt Ltd
, INDIA
03.2017 - 11.2019
- Thorough Monitoring of medical records in Outpatient Settings and providing ICD-10 CM, CPT & E/M codes based on HAAD regulations
- Outpatient Claim Processing
- Thorough monitoring of the medical documentation and providing ICD-10 CM codes & CPT codes for minor OP setting procedures.
- Proficient in outpatient E/M Coding.
- Maintaining physical-coder query log.
- Daily quality analysis before submission.
- Handling a team of home care coding, reporting CPT codes based on daily care.
- Also claim processing of ophthalmology OP, ENT OP, GP, and Dental is done.
- Dental coding with ICD-10 CM & USCLS codes from the Canadian dental association.
- Conducted training sessions for new team members.
- Doing analysis on denials with respect to each TPA & insurance to avoid claim denials in the future.
- Adaptable to do claim processing through soft wares like Shade,HMS,Unicare,Dok32, Ultraclinic,,carent,Cinipro etc.
Education
BAMS - AYURVEDIC DOCTOR
DR.MGR Medical University
Chennai, India 04.2001 - 01.2015
CPC-A -
AAPC/Trivandrum
Australian Medical coding -
Cigma Medical Coding Academy
Certificate Course in Hospital Administration -
TUV SUD
Skills
- Quality Assessment of coded data
- Problem Resolution Ability
- Strong Work Ethic
Personal Information
- Date of Birth: 06/09/90
- Nationality: Indian
- Marital Status: Married
- Visa Status: Residency Permit
Disclaimer
I do hereby declare that the above-given statements are true and correct to the best of my knowledge.
Timeline
Team Lead- Insurance Dept and Medical Coding
Crown Medical Center
03.2024 - Current
Claim Processor & Medical Coder
American Hospital
08.2022 - 02.2024
Insurance Coordinator & Medical Coder
Abeer Medical Center
12.2021 - 04.2022
Medical Coding Trainer
Medco Global Learning Solutions-India
03.2021 - 12.2021
Claim Processor & Medical Coder
Seha Technologies Pvt Ltd
03.2017 - 11.2019
BAMS - AYURVEDIC DOCTOR
DR.MGR Medical University
04.2001 - 01.2015
CPC-A -
AAPC/Trivandrum
Australian Medical coding -
Cigma Medical Coding Academy
Certificate Course in Hospital Administration -
TUV SUD
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