Meethu Mathew
@meethumathew
US healthcare insurance and precertification professional with 10+ years driving accurate authorization, billing, and denial management.
What I'm looking for
I’m a healthcare insurance and precertification professional with 10+ years of experience in US healthcare insurance, medical billing, claims processing, and preauthorization. I focus on accurate insurance authorizations, eligibility verification, and medical necessity review—keeping workflows tight through EOB analysis and payer policy review.
In my recent role as a Precertification Officer at Almadallah Healthcare Management, I processed insurance authorization requests with high accuracy and coordinated with insurers and providers to resolve blockers quickly. Earlier, as a Senior Pharmacist at Aster DM Healthcare, I managed insurance claims and billing processes, worked across international payer portals (Cigna, Aetna, Bupa), and identified billing discrepancies; I also bring ICD-10/CPT coding strength and practical experience with EMR/EHR systems.
Experience
Work history, roles, and key accomplishments
Precertification Officer
Almadallah Healthcare Management
Jan 2021 - Jan 2024 (3 years)
Processed insurance authorization requests and verified eligibility, reviewing medical necessity with high accuracy. Coordinated with insurers and providers to support precertification workflows.
Senior Pharmacist
Aster DM Healthcare
Jan 2013 - Jan 2021 (8 years)
Managed insurance claims and billing processes while working with international payer portals. Identified billing discrepancies and supported resolution to improve claim accuracy.
Clinical Pharmacist
St. Gregorios Hospital
Jan 2009 - Jan 2013 (4 years)
Dispensed medications and ensured regulatory compliance in day-to-day pharmacy operations. Supported clinical documentation and contributed to patient care activities.
Education
Degrees, certifications, and relevant coursework
Amrita School of Pharmacy
Bachelor of Pharmacy, Pharmacy
Completed a Bachelor of Pharmacy at Amrita School of Pharmacy.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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