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- 1. MUSTANSEER SHAKIR Tel: +97155-8691860 | E-mail: mustan120@rediffmail.com | mustan120@gmail.com Senior Level | Insurance | Billing | Financial & Accounting Management Revenue Cycle Management SUMMARY Profile: 34 Years, Male Nationality: Indian Current Location: Sharjah, UAE Position Held : Manager – Insurance Company: Oriana Hospital Visa Status: Employment Visa Preferred Location: Gulf /Middle East Marital: Married PROFESSIONAL PROFILE A dedicated and hard working professional with 11 years of rich & extensive experience in Insurance operations finance and accounts. Bachelor of Commerce; with excellent planning, management, and organisational skills, good interpersonal skills and ability to interact professionally with people at all levels. Proficient in preparing and maintaining statutory books of accounts, orders & report generation with extensive knowledge in dealing with tax related matters. Ability to perform in a stressful environment and under pressure and skilful at handling multiple tasks simultaneously. An attitude of excellence and diligence backed with practical experience and strong organisational abilities. A people-oriented approach and can get along well within a new corporate culture. COMPETENCIES Insurance Management ■ Accounting ■ Revenue Cycle Management ■ Auditing ■ Bank Reconciliation ■ Working on Financials ■ MIS & Reporting ■ Compliance Management ■ People Management ■ Accounts Administration ■ Customer Interaction ■ Liaison & Relationship Management CAREER PATH – KEY ACHIEVEMENTS Oriana Hospital One Day Surgery Oct 2015 - Present Manager - Insurance Oct 2015 - Present Zulekha Hospital LLC, Sharjah Jul 2004 – Oct 2015 Manager - Finance Jan 2014 – Oct 2015 Assistant Manager - Finance Jan 2008 – Dec 2013 Insurance Accountant Jan 2006 – Dec 2007 Insurance Coordinator Jul 2004 – Dec 2005 HIGHLIGHTS □ Experienced in Hospital Revenue cycle Management and achieved consistent career growth for demonstrating excellent performance and maintaining commitment and dedication towards assigned duties. □ Actively involved during JCI accreditation of the Hospital, 2007 - 2010. □ Underwent CPT 4 & ICD 10 trainings and participated in successful implementation of CPT 4 and ICD 10 in the hospital. □ Played an immense role in implementation of the hospital software (Healthcare PRO). □ Administered all aspects of operations for in-patient and ambulatory patient care units. □ Involved in the Branding Committee programs in the organization. □ Handled all Quality Committee works for the department and acted as the company representative for the same. KEY PERFORMANCE AREAS Insurance - Operations Management Supervising insurance matters and also supervising junior staff for the related matters. Supervising reconciliation of the payments received and make sure reconciliations are sent on time. Following-up for the payments not received with all insurance companies. Visiting various companies if required for the recon and follow up for payments. Analyzing the rejections regularly and counter feedback to be given on the basis of regular rejections to the insurance department.
- 2. Ensuring claim submission as per DHA Guidelines through E-Claims. Managing CPT 4 Price coding. Handling write-off cases/issues. Modifying the masters/existing entitlements if required in case of new surgery prices etc. Supervising claims checking attachments, OP and IP Claims settlement. Monitoring staff duty Roster (back office) and following up training calendar. Introducing New Insurance Company on panel and visiting insurance company for new services, prices, complaints, delay in payment, etc. Preparing Cost Estimate for Direct Parties for Admission. Coordinating with Insurance companies for empanelment with the Hospital. Supervising the claim dispatch on timely basis to insurance company. Analysing reports from Coordinators (claims settlement, claims checking, claims dispatched & unprocessed claims and reason, write off, etc). Giving solution for unprocessed claims or any lacking for claims process step. Supervising Payment collection as per the target and insurance entitlement master updates. Making packages for in-house doctor and visiting doctors. Arranging training for staff from insurance company. Finance & Accounts Management Monitoring preparation of statutory books of Accounts, Bank Reconciliation and Consolidated Reports in compliance with time & accuracy norms. Overseeing control on invoicing and revenue accounting. Ensuring financial objectives, systems, policies & procedures to facilitate control. Preparing, examining and analyzing accounting records, financial statements and other financial reports to assess accuracy and finalize the accounts. Coordinating and supervising accounting activities and providing guidance to achieve desired result. Handling complete books of accounts independently up to finalization including books of cash transaction and bank reconciliation. Preparing the Leave Salary and Final Settlement of the Staff. Taking care of accounts Payables, prepare cash flow statements, customer-vendor reconciliation statements and prepare pertinent reports. Accounts Receivable Handling reconciliation of accounts receivable trial balances with the general ledger control account. Monitoring & maintaining all advance deposits received and balancing them to the general ledger at month end. Checking accounts payable to ensure completeness of recording liability in time. Responsible for target achievement assignment given by the company. Monitoring all general ledgers accounts together with costing efforts and its supporting transaction documents. Report to management regarding the finances of establishment. Compliance Management Monitoring bank transfers; reconciliation of bank statements and all general ledgers accounts with cost and its supporting documents as per set norms. Coordinating with Financial Controller for implementation of set processes. Maintaining strict adherence in following the process specified according to the role and compliance. Maintaining and revising policies and procedures for general operations. Developing and implementing document record keeping and accounting systems up to date using computers. Ensuring proper maintenance of Masters in software and update the same after approval from Finance Manager. Coordinating with Software Developer for rectifying any bugs in the system. MIS Report Preparing & verifying monthly provisions and budgeting. Preparing all the MIS reports required by the management and reviewing performance. Verifying, analysing & controlling of general ledgers with accounting standards. Preparing & analysing the fund & cash flow statement. Making Tax/Bank reconciliation on periodic basis. Operations Management Liaising with banks, financial institutions, and Creditors in order to ensure smooth operations. Entering all the invoices of suppliers after checking the appropriate authorization and verification. Making monthly supplier payments and reconcile the vendor ledgers timely. Entering fixed assets purchase and maintaining all the contracts and LPO files. Preparing payment of Electricity, Telephone & Petrol bills for the organization and account for the same. Monitoring the payment of E-Dirham transactions.
- 3. Liaising with HR Department for Personal staff files maintenance, preparing cheques for staff going on Annual leave and Final Settlement. Recording Visa expenses in coordination with PRO Department and reconcile the bills submitted for the same. Issuing Loan Letters and Salary Certificates to staff. Preparing cheques for transfer funds to and from other sister concern accounts on periodic basis. Interacting with clients/customers on related issues and guidance on set policies and requirements. Team & People Management Handling the team of up to 40 FTE's and actively participating in the process of the department workflow. Leading, managing & monitoring the performance of team members to ensure efficiency in financial operations and meeting of individual & group targets. Ensuring mentoring of new entrants for contributing to the organisation in short period of time. Monitoring the team while delegating work, updating them with latest trends & techniques in the process. EDUCATION 2002 Bachelor of Commerce, Sindhu Mahavidhlaya, Nagpur University, India IT SKILLS Completed Computer Course from CIC-CCIT, India - Topics: MS Office application and Tally Packages. Adept in Accounting Packages such as Tally (5.4, 6.3, 7.2 & 9) and Peachtree. Well versed with MS Office (Word, Excel, PowerPoint, and Access), Internet & E Mail applications. REFERENCES: Available on request.