RESUME
Manoj Kumar Mishra
AL SHAIB COLONY
15 B1 HOR AL ANZ
NEAR YASMEEN BUILDING
DUBAI
E-mail: manojmishra187@gmail.com
Phone: 04 2140318, 0504186139
OBJECTIVE:
To develop a suitable career in a growth-oriented, Progressive organization, where I
will be a valuable team member, contributing quality ideas and work to my ability. To
seek a position within a progressive, reputed organization in order to achieve results
and attain professional growth in finance fields, while embracing new technology
and strategies to remain competitive in the markets.
ORGANIZATIONAL EXPERIENCE
Resubmission Coordinator under finance : from 2013 till date

Downloading the remittance advice through e claim link.
 Segregating the remittance advise according to the
insurance and Tpa
 Segregating the remittance advice according to the
payments made and the denied payments.
 Segregating the remittance according to the denial
reason.
 Maintaining the proper account records of payment
and denials
 Short out the issue regarding submission,
resubmission, and payment issue with insurance.
 Reviewing the denials, and if required rectifying the
error (cpt, hcpcs, pricing or in discounts) and also
justifying the medical denials after consulting with the
treating Doctor.
 Resubmitting the claims within the allotted time.
 Coordinating with the finance team to verify the
payment details.
 Follow-up with the claims team for the resubmitted
amount
 Follow up with insurance regarding payment.
 Any corrective issue regarding our system inform to
our HOD.
Medical Insurance Coordinator in Belhoul Speciality Hospital,
Dubaï, From August. 2010 – 2013

Being a trained coder I do the Encoding of online approvals for
both in-patient and out-patient requests.

Preparing data’s for approval cases and entering records for
inpatient both planned case and emergency cases with their date
of approvals and number of days approved.

Taking verbal approvals for emergency admission and planned
cases, providing cost estimate and other necessary documents.

Taking verbal approvals for outpatient procedure namely
maternity, dental and urgent procedures/special cases.

Auditing claims on a regular basis to ensure that the rejections
are below 5 %

Coordinating with insurance company for the reconciliation of
the rejected bills.

Solving the quarries of in house Doctors and patient regarding
insurance coverage related doubts.

Provide training to new recruits in front office staff and
clarifying there doubts related to insurance coverage.

To arrange the meeting for front office staff and cashiers to
solve their quarries of new insurance policies or any new
addition on insurance company on panel.

Doing the submission through e claim.
M/S KJK POLYDIAMOND INTERNATIONAL PVT.LTD. CHENNAI
KJK is the biggest manufacturing company in India. It is manufacturing PCD &
PCBN tools with the technologies of Japan. And supply to automobile and
manufacturing sector (like HONDA, TATA, MARUTI SUZUKI, HERO HONDA,
BAJAJ, BOSCH, ENDURANCE etc.) and export to THILAND, SOUTH CORIA,
SINGAPUR, GERMANY AND USA. It is an ISO 9001-2000 certified Company.
It also offered regrinding and retipping servicing by using controlled brazing
technologies.
MY KEY RESPONSIBILITIES

As a team member of Business Development in North Zone in
India

To Develop new Customer and represent the Company and its
Products, Support with sales team to achieving Company Goals

Regularly Meeting with Customers and short out the quarries

Find out the possibilities how to expend the Business and Making
Strategy with Management and implement it for improving Sales

Study application (Component Details) and make reports. The
input for tool design through sales Department.

Conducting tools trials and submit the report to office

Innovation of new tools at customer end.

follow up with insurance regarding payment.
PROFESSIONAL QUALIFICATION:
Master of business administration (MBA) with specialization in the field of
Finance & Marketing from Uttarakhand technical university 2008.
ACADEMIC QUALIFICATION:



Bachelor of commerce (B.Com) from Kumaun University, 2006.
Intermediate with PCM group from Uttaranchal board 2003.
High school with science group from Uttar Pradesh board 2000
COMPUER SKILLS:
Operating system
Package
Language
Knowledge of internet
: Window XP/ 2000
: MS-OFFICE 2000
:c
Sage appac erp(s)
SUMMER TRAINING:
Worked as a summer trainee with CENTURY PULP & PAPER (A unit of Birla
Group) Lalkuan. Distt, Nainital for the period of MBA.
Topic: “Distribution channel & customer satisfaction of CENTURY PULP &
PAPER” in Kumaun Region.
Objective:



To know about the distribution channel of CENTURY PULP &
PAPER and comparative study of its competitors.
To strengthen the dealers network of CENTURY PULP & PAPER in
Kumaun region.
To suggest the effective measures to be taken by CENTURY PULP &
PAPER to improve its position in comparison to its competitors.
WINTER TRAINING:

Worked as a finance trainee with own topic “An Analysis of recent
mergers & acquisitions undertaken by Indian companies globally”.
Objective:


To study the recent trend in merger & acquisitions by Indian firm in
general and to study recent major global M&A by Indian corporate in
particular.
To study the financial implications on the corporate working after merger
& acquisitions

To study the impact of M&A deal on the stock price of the particular
company.
PERSONAL DETAILS:
Father’s Name
Date of Birth
Place of Birth
Marital Status
Passport no.
Languages Know
Permanent address
: Mr. L.M.Mishra
: 18th July 1986
: Haldwani
: Married
: H 9347739
: Hindi, English
: Manoj Mishra,
Behind Nirmala convent school
Kathgodam Haldwani
Distt Nainital (Uttarakhand)
Pin code 263126
DECLARATION:
I hereby declare that the above information given by me is true in my knowledge.
Date –
Place- DUBAI
Manoj Kumar Mishra