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Merlin Bobby

Merlin Bobby

RCM Manager

Healthcare

Dubai, دبي

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About Merlin Bobby:

This letter is to express my interest to work with the healthcare industry, presently working as an Insurance manager having good knowledge in empanelment, submission, re-submission, reconciliation, and Regulatory guidelines.

 

I also have a wide breadth of more than 13 yrs of experience, of the type that gives you the versatility to place me in a number of contexts with confidence that the level of excellence you expect will be met. Please see my resume for additional information on my experience.

 

I can be reached at any time via my cell phone or email. Thank you for your time and consideration. I look forward to speaking with you about this employment opportunity.

Experience

implement the strong platform for system integration especially for RCM functions, which improves the RCM fast process of claims and payments in line with DHA guidelines.

Empaneled New Business development contracts with Insurance Cos and also with Corporate international assistance group

Ensuring timely billing, pre-authorization, claims submission, and re-submission by resolving issues that arise during the process.

Monitoring the initial & final rejection rate, payer-wise rejection rate, CMI, IP & OP claims average.

Education

MBA (UWOL, UK)

Certified Coding Specialist (CCS) 

Certified Coding Specialist (Physician) (CCS-P)

CPC-H Certified Professional Coder-Hospital (AAPC)

CCA Certified Coding Associate(AHIMA)

BSc- Microbiology (Garden City College, India)

ICD 10 proficiency exam completed from AAPC

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