Shiju Rajendran
Riyadh,01
Summary
To seek and maintain a full-time position that offers professional challenges utilizing interpersonal skills, excellent time management, and problem-solving skills.
Overview
9
9
years of professional experience
Work History
Human Resources Officer
Saudi Arabian SAIPEM
09.2023 - 06.2024
- Maintained accurate personnel records, ensuring privacy standards were met in accordance with relevant regulations.
- Coordinated new hire onboarding, completing background checks and reference checks to complete screenings.
- Managed employee benefits programs, ensuring timely enrollment and accurate recordkeeping.
- Conducted performance reviews and provided feedback to managers on employee performance.
- Handled complex payroll situations such as back-pay calculations, garnishments, and overtime payments with accuracy and professionalism.
- Used computerized ticketing systems to process ticket orders accurately and securely.
Medical Coder and Insurance Claim Auditor
Al Dara Hospital
12.2019 - 08.2023
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Correctly coded and billed medical claims for hospital and nursing facilities.
Insurance Claims Specialist
Al Hayat National Hospital
02.2015 - 02.2019
- Improved customer satisfaction by providing timely updates and resolutions to their claims inquiries.
- Developed positive relationships with policyholders, fostering trust through transparency during the claim process.
- Identified fraudulent activities through diligent investigation, protecting company assets from potential losses.
- Reduced delays by effectively managing multiple approval requests simultaneously.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Assisted coding specialists in understanding complex medical scenarios that required special attention during claim submission.
- Reduced claim denials by effectively communicating with healthcare providers to obtain necessary documentation and information.
- Trained new employees on multiple medical billing programs and data entry software.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
Education
Bachelor of Science - Nursing Science
American International Medical University
Saint Lucia, West Indies08.2014
Diploma In General Nursing - Nursing
Sree Venkateswara School Of Nursing
Banglore, India08.2007
Bachelor of Commerce - Accounting And Finance
Govt College
Kerala,India06.2003
Skills
Medical Terminology
Anatomy knowledge
ICD, CPT, ACHI Coding
Medical Billing
Insurance Verification
Clinical Documentation
Medical claims coding
Claims Processing
Document Management
Diagnostic Coding
Proficiency in OASIS, CITRIX, PHS, FALCON
Inpatient records coding
Insurance claims analysis
EMR Systems
Insurance approval
HR policies and procedures
Employee Relations
Organizational Development
Recruitment Strategies
Talent management
Human Resources Operations
Exit Interviews
Payroll Management
Professional Development
Performance Evaluation
Records Management
Compensation and benefits
Onboarding, Training, and Development
Document Controller
Travel industry knowledge
Office Management
Facility Management
Languages
Malayalam
Native language
Hindi
Advanced
C1
English
Advanced
C1
Arabic
Elementary
A2
Personnel information
Date of Birth - 18 Aug 1983
Nationality - Indian
Iqama No - 2483729444
Passport No - V 9315628
Timeline
Human Resources Officer
Saudi Arabian SAIPEM
09.2023 - 06.2024
Medical Coder and Insurance Claim Auditor
Al Dara Hospital
12.2019 - 08.2023
Insurance Claims Specialist
Al Hayat National Hospital
02.2015 - 02.2019
Bachelor of Science - Nursing Science
American International Medical University
Diploma In General Nursing - Nursing
Sree Venkateswara School Of Nursing
Bachelor of Commerce - Accounting And Finance
Govt College
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