1. 1
CURRICULUM VITAE
MS. ILIN HEPSI
Abudhabi, UAE
Contact No.: +971 50 8154974
Email Add: iylinhepsiinn@gmail.com
SUBJECT: APPLYING FOR THE POSITION OF INSURANCE SUPERVISOR
OBJECTIVE
Seeking a challenging role as an Insurance Officer, with challenging opportunities to
enhance and utilize my skills, knowledge and experience for mutual growth and
development.
PROFESSIONAL& PERSONEL SKILLS
1. Advanced skills and knowledge of insurance and claims principles, practices and
procedures.
2. Challenging career with a progressive organization which will utilize my skills,
experience, abilities and education in a professional way.
3. Ensures that high quality customer service is provided at all times.
4. Strong communication, writing and presentation skills.
5. Knowledge of computer skills.
WORK EXPERIENCE
Nursing - 9 years
Medical Insurance - 8 + years
PROFESSIONAL QUALIFICATION
Diploma General Nursing and Midwifery
B D P Petit Parsee General Hospital, Mumbai, India.
TYPE WRITING & COMPUTER SKILLS
 Good type writing skills – English
 Operating system: Windows 98/2000/XP/Vista
 MS Office ( Excel, Word, Power point, XML)
 Able to utilize the internet as a source of data, for all my requirements.
 Able to seek, store, retrieve, synthesize, use and present information in ways
appropriate to the task.
DETAILS OF REGISTRATION
Registered under Maharashtra Nursing Council.
Registration No: xxx111 – 13439 Valid up to 30 – 3 – 2017

2. 2
EDUCATIONAL QUALIFICATION
 Higher Secondary Course Certificate
Form S.M.R.V Hr. Sec. School July 1993 – 1994, Tamil Nadu, India
 Secondary School Living Certificate
From S.M.R.VHr. Sec. School July 1991 – 1992, Tamil Nadu, India
TRAINING ATTENDED
1. Weqaya Screening Program
Conducted by Clinical Coding Steering Committee HAAD in 2015
2. ICD 10 CM Standard
Conducted by Clinical Coding Steering Committee HAAD
Attended Dated 26/05/2015
3. ICD 9 CM E & V Codes
Conducted by Clinical Coding Steering Committee HAAD
Attended Dated 14/09/2011
4. Evaluation and Management Coding for Out patient /Office Visit
Conducted by Clinical Coding Steering Committee HAAD
Attended and Passed, Dated 19/07/2010, 14/09/2011
5. Evaluation and Management Coding for Emergency DepartmentVisit
Conducted by Clinical Coding Steering Committee HAAD
Attended and Passed, Dated 19/07/2010, 14/09/2011
6. Evaluation and Management Coding for Home Visit Care
Conducted by Clinical Coding Steering Committee HAAD
Attended and Passed, Dated 19/07/2010
7. Certificate of Appreciation in JCIA Fair
Conducted by Al Noor Hospital, Al Ain, UAE, Dated 26/11/2010
8. Quality Tools and Techniques
Conducted by Al Noor Hospital, Al Ain UAE, Dated 28/08/2010
9. Root Cause Analysis
Conducted by Al Noor Hospital, Al Ain UAE, Dated 21/08/2010
10.The Basic Life Support Faculty - Conducted by American Safety and Health Institute
11.Awareness of Fire Safety - Conducted by Al Noor Hospital,
12.Basic Customer Services - Conducted by Al Noor Hospital
PROFESSIONAL EXPERIENCE
EXPERIENCES – I
Job Title : INSURANCE OFFICER /HEAD OF CLAIMS

3. 3
Experience : 1st
of Feb 2013 to Present
Facility : Universal Hospital
Job Summary
 Supervising the OP,IP& Dental claims Submissions and Resubmissions
 To manage front line Insurance office by providing current and upgraded
information on changing policies and procedures to patient services staff,
also assist patient in their day to day needs related to insurance information &
cards and approvals.
 To ensure that high quality customer service is provided at all times.
 Verification and submission of OP & IP Claims
 Coordination with Insurance Companies for new contract and new policies or all
other update information regarding the insurance issues.
 Providing Insurance Training for all new employees.
Job Description
1. To manage front line Insurance office by providing current and upgraded
information on changing policies and procedures to patient services staff, also
assist patient in their day to day needs related to insurance information & cards
and approvals.
2. Possess updated knowledge related to various insurance companies’
policies/plans, benefits, coverage, exclusions and other such information from
time to time.
3. Provide regular training to the staff involved in revenue cycle management; front
desk/reception, doctors, nurses, secretaries, coders & billers on various
insurance plans, schedule of benefits, covered/non-covered services &
covered/non-covered diagnoses.
4. Circulating mail to the concern departments related insurance policies and
updates.
5. Co-ordination with doctors, medical secretaries, nurses, coders, billers, &
laboratory staff to minimize the rejection rates.
6. Supervising the claims Submission of Outpatient, Inpatient, Dental & Pharmacy
claims submissions.
7. Perform independent correspondence related to insurance matters and share the
team with updated information from time to time.
8. Worked base line coder having knowledge of coding, Review of captured CPT & ICD
codes, and make sure the codes are medical necessary in compliance with
available documentation.
9. Physician Query - Physician should be queried if there is any conflicting,
ambiguous, incomplete & inconsistent information in the patient record and to
improve the specificity & completeness of the data used to assign diagnosis &
procedure codes in the patient’s medical record.
10. Ensure LOINC coding of certain laboratory tests mandated by HAAD after careful
review of lab results.
11. Careful review & make sure to charge capture of any billable surgical supply items
with appropriate HCPCS codes.

4. 4
12. Coordinate with all other departments involved in the revenue cycle
management to ensure smooth work flow of day-to-day business operations; IT,
Finance, Adm in, Lab, Pharmacy & Radiology.
13.Successfully managed insurance claims submissions.
14. Ensure claims are settled in accordance with policy and company guidelines
15. Monitor the claims activities; prepare and present reports to management
16. Liaise with repairers or suppliers when needed
17. Resolved queries and complaints in a professional and swift manner
18. Participate in the Quality Management activities of the hospital.
19. Competently participate in training programs conducted by various Insurance
Companies/ HR / Quality Department. And etc...
20. Arrange periodical meetings with department and the doctor’s specialty wise
that would strengthen the teamwork in hospital.
21. Analyzing the rejection from the XML remittance Advice.
EXPERIENCES – II
Job Title : INSURANCE SUPERVISIOR
Experience : 1st
of August 2010 to Jan 2012
Facility : Al Noor Hospital Al Ain
EXPERIENCES – III
Job Title : INSURANCE COORDINATOR
Experience : 1st
of August 2009 to Jan 2010
Facility : Al Noor Hospital Al Ain
EXPERIENCES - IV
Job Title : INSURANCE CLERK
Experience : 1ST
August 2008 till 31st
July 2009, Al Noor Hospital Al Ain
EXPERIENCES - V
Job Title : STAFF NURSE IN EMERGENCY UNIT
Experience : 6th
of June 2005 to 31st
July 2008
Bed strength : 7 bedded in Emergency Unit
Name of the Hospital : AL NOOR HOSPITAL, Abu Dhabi
Size of the Hospital : 70 bedded Hospital
EXPERIENCES - VI
Job Title : STAFF NURSE IN ICU & ICCU
Experience : August 2002 to October 2004
Bed strength : 12 beds in the unit.
Name of the Hospital : INLAKHS GENERAL HOSPITAL, Mumbai India
Size of the Hospital : 120 bedded Hospital
EXPERIENCES – VII

5. 5
Job Title : STAFF NURSE
Experience : August 1999 to November 2001
Bed strength : 54 beds in the unit.
Name of the Hospital : B.D.P.PARSEE GENERAL HOSPITAL Mumbai, India
Size of the Hospital : 350 bedded Hospital
Range of Services : Allied Health sciences and a college of Nursing
PERSONAL INFORMATION
Name : ILIN HEPSI INNASI MUTHU
Fathers’ Name : INNASI MUTHU
Date of Birth : 07th
June 1977
Marital Status : Married
Religion : Christian
Nationality : Indian
Present Address : Mussafah
Visa Status : Residence Transferable
Driving License No : 1055911
LANGUAGES - English, Hindi, Tamil, Marathi, Malayalam, Urdu
DECLARATION
I hereby declare that the above-mentioned information is correct up to my knowledge and
I bear the responsibility for the correctness of the above-mentioned particulars
Date: September17th
2016
Place:ABU DHABI (UAE),IylinHepsi Innasi Muthu