Dr Muhammad Zeeshan Ali

Experience

• 

  Mayo Hospital

  Sept 2017 - Sept 2018

  House Officer

  Hospital Department DurationMayo Hospital Lahore North Surgical Ward 16.09.2017 - 15.12.2017Mayo Hospital Lahore Chest Surgery Ward 16.12.2017 - 15.03.2018Mayo Hospital Lahore South Medical Ward 16.03.2018 - 15.06.2018Mayo Hospital Lahore Radiology Department 16.06.2018 - 15.09.2018DUTIES & RESPONSIBILITIES:1:Clerking elective and emergency admissions and reporting to seniors managing medicalemergencies with the help of senior Healthcare team members.2:Participating in resuscitation attempts including cardiopulmonary resuscitation of cardiacarrest patients.3:Carefully assessing the patients by taking adequate history and performing relevantexaminations and documenting clearly in the patient notes.4:Requesting investigations with the help of my seniors and chasing their results liaising withother members of the health care staff and other departments.5:Making an initial management plan for the patients under the supervision of my seniorsand consultants giving oxygen therapy and prescribing IV Fluids and common medications.6:participating in ward rounds and being involved in today's management of patients.7:Presenting cases to my seniors and consultants performing practical procedures undersupervision as well as independently.8:communicating effectively with patients and their relatives and addressing their concernscarrying out administrative tasks such as rewriting drug charts and preparing operationtheatre lists preparing discharge summaries is to be reviewed by a Senior member of theteam Show less

• 

  Al Shifa Medical Centre

  Sept 2018 - Dec 2020

  Medical Officer (General Medicine & Surgery)

  Being a medical Officer I have worked in the General Medicine & surgery department under the kind supervision of registrars and consultants. Patients with different medical and surgical conditions are effectively managed here and there is a proper referral system of the patients as well.I have seen the following cases.To name a few:Stroke,Head Injury,Upper GI bleed,Typhoid Gut perforation,Hypertension ,Uncontrolled Diabetes,Urospepsis,Urinary Retension,Pulmonary Edema,Heart Attack,Urinary retension,CKD,Drug resistant infection,Acute Ureteric colic,Blood transfusion reactionWorking in the ER & general medicine department,my responsibilities were also as follows:  Looking for the very common diseases, making differentials.  Doing ECG for patients coming with chest pain.  Passing IV lines & taking blood samples.  Check for any previous medical records.  Taking Vitals and doing clinical examination.  Conducting initial investigations and advising specific labs/images as per consultant advice.  Prescribing Medications.  Explaining & discussing different lab results with the patients.  Transfusing blood and blood components.  Providing the patient detail about their disease.  Counselling the patients about medication compliance.  Providing Psychological assistance.  Giving the patient a clear concept of their disease & importance of medication. Educating the patients about very common medical conditions eg HTN,DM etc Keeping check & Providing care to the admitted patients.I have worked in this hospital OPD (Out patient department) for almost 2 years,seen following patients: Acute Tonsilitis,URTI,LRTI, Pneumonia,TB,Headache,Acute otitis media,AGE, Acute Gastritis,APD,Acute Viral Hepatitis,UTI,Typhoid,Asthma,LBP,Skin fungal Infections etc Show less

• 

  Adamjee Insurance Company Limited

  Feb 2019 - Dec 2021

  MEDICAL CASE MANAGER (Approvals,Pre Auth)

  Role&Responsibilities:Pre-Authorization Approvals Case Management at Hospitals Hospitals Enlistment- Increasing Network & Hospitals Discount CentresHandling Medical Hotline Rate Negotiations with Network HospitalsRelationship Management with Hospitals- billing reconciliations, Discounts negotiation, customer facilitation, etc.. Relationship Management with clients.

• 

  Milvik Bima

  Sept 2022 - Aug 2023

  Medical Claims Examiner (Tele-Medicine and Claims Evaluator)

  Conducted teleconsultations, providing accurate medical advice and treatment plans to patients remotely.Evaluated medical claims to ensure compliance with policies, verifying documentation, and approving or rejecting claims based on eligibility criteria.Assessed medical reports and patient histories to validate claims and detect potential fraud or discrepancies.Collaborated with insurance teams to streamline claim processing and maintain efficient workflows.Delivered exceptional customer service, addressing patient inquiries and resolving claim-related concerns promptly.Maintained detailed records of medical consultations and claims evaluations, ensuring accurate reporting and documentation. Show less

• 

  PakQatar Family Takaful

  Aug 2024 - now

  Medical Case Manager (Approvals Pre Auth)

  Oversee medical pre-authorization approvals (Pre-auth) and claims evaluation, ensuring timely and efficient processing to enhance customer satisfaction.Facilitate the onboarding of hospitals onto the panel and negotiate rate revisions to optimize cost-efficiency.Address medical hotline inquiries, promptly resolve patient conflicts at hospitals, and provide solutions to queries raised by panel hospitals.Collaborate with healthcare providers to maintain quality standards and ensure compliance with organizational policies. Show less