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Dr Vima Tharayil Vijayan

Senior Officer-health Claims(processing & Payment,audit,reconciliation And Uw-risk Assessement) at Union Insurance

Dr Vima Tharayil Vijayan has a diverse work experience, starting in 2013 with Dr. Batra's International, where they worked as a Homeopathic Consultant, diagnosing and prescribing new cases and providing consultation over the phone. Dr Vima later became the Chief Homeopathic Consultant from April 2016 to December 2019.

In 2020, Dr. Vijayan joined InayahTPA as an Approval Officer, specializing in Pre-Authorisation for IP, OP, PBM, and GOP claims. Dr Vima had expertise in IR DRG and 3M encoder and was responsible for verifying the justification of severity in IP cases to prevent overbilling.

Currently, Dr. Vijayan is working at Union Insurance as a Senior Officer for Health Claims, specifically in Audit and Recovery & Medical Underwriting. Their responsibilities include the pre-payment detection of fraudulent, abusive, and erroneous claims, reporting and recovery of old claims, validating high-cost claims, and uploading reported claims to required tools.

Throughout their work experience, Dr. Vima Tharayil Vijayan has gained a strong knowledge of health insurance guidelines, ICD10, CPT, HCPCS, and DHA&HAAD exclusions.

Dr Vima Tharayil Vijayan obtained their BHMS degree in Homeopathic Medicine from Mahatma Gandhi University in Kerala, India, from 2006 to 2013. Dr Vima has also obtained additional certifications in Basic Life Support (BLS) from the American Heart Association and as a Certified Professional Coder (CPC) from AAPC. The specific months and years in which they obtained these certifications are not provided.

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