Aishwarya Kannan Pathil

An accomplished medical officer who proudly maintains a highly productive, efficient and quality-driven environment at all times.

Highly analytical healthcare management professional combining more than 1 year of work in long-term care with proficiency in financial management, leadership and positive clinical outcomes.

Well-trained medical officer offering vast experience in medical operations, excellent interpersonal communication skills and the organizational savvy to run a hospital facility smoothly.

Organized and dependable candidate successful at managing multiple priorities with a positive attitude.

Compassionate with excellent bedside manner and ability to communicate with patients of various ages and circumstances in simple terms.

Focused on putting patients at ease and clearly diagnosing even the most difficult cases..

Worked as COVID DUTY DOCTOR during the 2nd wave covid pandemic and served my part as a front-line warrior. I not only treated COVID patients medically for their symptoms but also made them feel confident and enhanced their strength of being positive about the undesirable situations that shattered us during the pandemic.

COMPANY: GOVERNMENT DISTRICT AYURVEDA HOSPITAL
ADDRESS: PADANAKAD, KANHANGAD, KASARAGOD, KERALA, INDIA
                   PINCODE: 671315
POSITION: SENIOR HOUSE SURGEON

 Inoculated and vaccinated patients to immunize them from communicable diseases.
 Provided prenatal care to pregnant women, delivered babies and provided postnatal care to mother and infant.
 Closely examined patients' medical history, medication allergies, physical condition and test results to verify the necessity of operations and to determine proper procedures.
 Consistently obeyed all established surgical techniques and procedures during surgery.
 Expertly managed all surgical services, including planning, scheduling and coordination, determination of procedures and procurement of supplies and equipment.
 Thoroughly assessed patients to determine medical conditions and level of surgical risk.
 Carefully and attentively operated on patients to remove, repair, or improve the functioning of diseased or injured body parts and systems and increase health and comfort.
 Exhibited expert knowledge of policies, procedures, ethical standards and laws regarding the delivery of mental care.
 Carefully analyzed test results and information gathered during examinations to properly diagnose illnesses and diseases.
 Regularly evaluated infants and children to assess growth and development compared to average childhood patterns.
 Discussed various treatment options extensively with patients and families.
 Consulted with other physicians and readily assisted during surgeries.
 Maintained accurate medical records and documented patient case history in detail.
 Specialized in the diagnosis, treatment and management of brain and nervous system disorders.
 Strictly maintain the confidentiality of patients, families, colleagues and any sensitive situations.
 Improved performance at the organizational, departmental and individual levels.
 Patiently explained prescribed procedures and discussed test results with patients and their families.

COMPANY: VIDAL HEALTH INSURANCE TPA PRIVATE LIMITED
ADDRESS: 1st FLOOR, TOWER-3, SJR I PARK, EPIP ZONE, WHITEFIELD,
BANGALORE - 560066, INDIA
POSITION: MEDICAL OFFICER - MMG

 Processing and documentation of health insurance claims.
 Communicating with insurance carriers, updating internal billing databases, electronically storing patients' records, filing registration forms, analyzing insurance claims, detecting coding errors, and verifying medical coverage.
 Assure medical records are accurate and that the database is secure.
 Assess the necessity of a medical procedure and approve or deny insurance coverage.
 Helping patients obtain and understand their medical benefits.
 Organize patient data and input it into databases for insurance reimbursement purposes.
 Reviewing incoming medical claims for payment or denial, as well as processing policy applications from prospective policyholders.
 Confirm and update benefits coverage and pre-approval for certain medical procedures, such as surgery.
 Familiarized and well-versed with the latest insurance regulations, medical terminology claims processing guidelines and procedure codes.
 Obtaining information from policyholders or medical staff in order to make a sound processing decision.
 Records management and billing and posting claims, greeting patients, scheduling appointments and filing.
 Maintaining meticulous records of medical costs, adjustments, co-payments, and other billing details.
 Resolving queries, managing relationships, pre-authorizations and conveying information.
 Utilizing patient electronic health records to code medical procedures and examine insurance claims.
 Calculating medical bills and preparing medical claims before processing the necessary paperwork, verifying insurance coverage and updating patients' records as needed.

Degree:  BACHELOR OF AYURVEDIC MEDICINE AND SURGERY [BAMS]
Specialization: AYURVEDIC MEDICINE AND SURGERY 
College:  ALVAS AYURVEDIC MEDICAL COLLEGE, MOODABIDRE
University:  RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, KARNATAKA
Year:  2014-2020

Degree:  Certified Professional Coder
Specialization:  Medical Coding - Medical Billing - Medical Auditing
Accreditation:  American Academy of Professional Coders (AAPC)
Institute:  Arown Medical Coding Academy, AZHAR COMPLEX, Caltex, Thayatheru Rd, near North                           Malabar Chamber of Commerce Building, Thavakkara, Kannur, Kerala 670002, India
Year:  2023