MUHAMMED SHAFI

RCM Account/Claim Management Specialist at Waseel ASP
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Contact Information
us****@****om
(386) 825-5501
Location
Riyadh, Riyadh, Saudi Arabia, SA

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Credentials

  • Health Information Management(HIM) and Coding
    Healthcare Financial Management Association (HFMA)
    Mar, 2023
    - Nov, 2024
  • Fundamentals of Insurance Verication
    Healthcare Financial Management Association (HFMA)
    Jan, 2023
    - Nov, 2024
  • Best Practice (Patient Centric) Revenue Cycle Overview
    Healthcare Financial Management Association (HFMA)
    Sep, 2022
    - Nov, 2024
  • Basic Billing Rules and Payment Methodologies
    Healthcare Financial Management Association (HFMA)
    May, 2022
    - Nov, 2024
  • Key Performance Indicators in the Revenue Cycle-certificate
    Healthcare Financial Management Association (HFMA)
    May, 2022
    - Nov, 2024
  • Pre-Registration and Insurance Verification
    Healthcare Financial Management Association (HFMA)
    May, 2022
    - Nov, 2024

Experience

  • Waseel وصيل
    • Saudi Arabia
    • IT Services and IT Consulting
    • 1 - 100 Employee
    • RCM Account/Claim Management Specialist
      • Mar 2022 - Present

      RCM Account/Claims Management Specilaist at Waseel ASP Ltd |Revenue Cycle Management Claims Management| Technical Auditor| KPIRC| RCM Account/Claims Management Specilaist at Waseel ASP Ltd |Revenue Cycle Management Claims Management| Technical Auditor| KPIRC|

  • Al Hijrah Medical Center
    • Saudi Arabia
    • Hospitals and Health Care
    • 1 - 100 Employee
    • Insurance Coordinator
      • Jan 2021 - Mar 2022

      • Billing and claim preparation. • pre-submission claim review. • Claim submission to payer, (Waseele & DHS). • Rejection management. • Insured’s complaints management. • Accounts Receivable • Billing and claim preparation. • pre-submission claim review. • Claim submission to payer, (Waseele & DHS). • Rejection management. • Insured’s complaints management. • Accounts Receivable

  • Abeer Medical Group
    • Saudi Arabia
    • Hospitals and Health Care
    • 200 - 300 Employee
    • Insurance Specialist
      • May 2013 - May 2020

      Claims processors work in the insurance Department/Approval and are responsible for handling insurance claims. And review claim submissions, obtain and verify information, correspond with insurance agents and beneficiaries, and process claim payments. Claims processors work in the insurance Department/Approval and are responsible for handling insurance claims. And review claim submissions, obtain and verify information, correspond with insurance agents and beneficiaries, and process claim payments.

  • Hiba Asia Healthcare Group
    • Saudi Arabia
    • Hospitals and Health Care
    • 1 - 100 Employee
    • Claim Processor
      • Jan 2013 - May 2013

  • KIMS ALSHIFA SUPER SPECIALTY HOSPITAL
    • India
    • Hospitals and Health Care
    • 100 - 200 Employee
    • Health Care Management Division Exicutive
      • Mar 2012 - Jan 2013

Education

  • University of Calicut
    Bachelor of Arts - BA, History
    2007 - 2010
  • RVS College of Arts and Science
    Master of Social Work - MSW, Human Resources Management/Personnel Administration, General
    2010 - 2012
  • GOHSS Edathanattukara,Kerala
    Higher Secondary, Commerce
    2005 - 2007
  • Bharathiar University
    Master of Social Work - MSW, Social Work
    2010 - 2012

Community

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