
Results-driven healthcare professional with extensive clinical and administrative experience , excelling in claims review and medical record evaluation.Skilled in adjudicating hospital and individual reimbursement claims, reviewing medical conditions, diagnostics, and treatments to ensure compliance and cost efficiency. Adept at bridging clinical knowledge with financial oversight to deliver optimum savings while maintaining quality patient care. Known for meticulous attention to detail, strong analytical skills, and effective communication across medical and administrative teams.Proven ability to collaborate with healthcare providers to enhance processes and achieve financial savings.
- Adjudicate hospital and individual reimbursement claims, ensuring accuracy and compliance with medical standards.
- Review medical conditions, treatments, diagnostics, and hospitalization records to validate claims.
- Ensure optimum cost containment and financial savings for the organization.
- Collaborate with healthcare providers to resolve discrepancies and improve claims processes.
- Maintain detailed documentation and reporting for claims decisions.
- Coordinated antenatal clinics, deliveries, and postpartum care.
- Managed family planning unit and provided counseling services.
- Delivered holistic nursing care and maintained accurate patient records.
Assisted in successful births and provided post-partum counseling for struggling families to improve the health and well-being of mothers and newborns.
Administered medications through oral, intravenous (IV), and intramuscular injections while monitoring patient responses and addressing emerging concerns.
Monitored patients’ conditions and reported changes in physical ability, appearance, and behavior to physicians to support treatment decisions.
Observed vital signs, assessed comfort levels, and monitored the emotional states of mothers before, during, and after labor.
Provided high-quality nursing care to approximately 10 patients daily within a 10-bed unit.
Carried out vaccinations and immunizations in accordance with medical guidelines.
Performed various nursing interventions including wound dressing, vital sign monitoring, and patient care support.
- Provided perioperative care and managed orthopedic emergencies.
- Coordinated post‑surgical recovery and documentation.
- Delivered antenatal services, health talks, and pregnancy monitoring.
- Provided neonatal and pediatric care, including emergency handling.
- Administered treatments plans for chronic conditions (hypertension, diabetes, BPH).
- Performed wound dressing and patient monitoring.
- Conducted uncomplicated deliveries and postpartum care.
- Monitored pregnancies and referred complex cases.
- Assisted in the care of psychiatric patients.
- Strong analytical and meticulous documentation skills
- Proficient in claims review and medical record evaluation
- Effective communication and teamwork abilities
- Computer literate (MS Office, healthcare systems)
- Ability to work under pressure with minimal supervision
- Claims Management & Adjudication
- General Nursing Services
- Midwifery
- Cost Containment & Financial Oversight