Dr.Shabin Razak
Claims Medical Officer @ ADNIC International LTD
About
Experienced IP Processor with 4 years in TPA, specializing in major case management, DRG revisions, OP and PBM processing. Proficient in using updated medical literature and coding guidelines to ensure accurate case handling. Skilled in outpatient processing focused on medical necessity, with expertise in pharmaceutical guidelines, dosage checks, and formulary regulations. Regularly manage escalations from members, providers, and brokers, and possess a solid understanding of policies, networks, premiums, and enrollment processes
United Arab Emirates
Abu Dhabi Emirate
Insurance
Medical Claims Processing, Ip final process, Case Management, DRG Revisions, OP processes , Pharmacy Benefit Management, DRG, Revisions, Ip process, Op process, Medical Coding, Claims Processing, Healthcare Management, Medical Terminology, Claims Handling, Consulting, Wellness, Spa, English as a Second Language (ESL), French language
Experience
Claims Medical Officer
ADNIC International LTD
United Arab Emirates
Inpatient case management specialist with deep expertise in DRG assignments, revisions, and compliance with evolving coding standards. Proven track record in optimizing clinical documentation, preventing revenue leakage, and ensuring regulatory alignment. Also experienced in outpatient claims, PBM compliance, upcoding control, and mentoring teams for consistent, high-quality case processing.
Insurance Medical Officer
InayahTPA
Dubai, United Arab Emirates
Claims Medical Officer
Medical Officer Claims
Medi Assist
India
Claim Processor in Pre Autherization Department
Education
Mahatma Gandhi University
Dr.Shabin Razak's Contact Information
Phone
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