Nagwa Issa
claims and approval manger at Alabeer Madinah مجمع العبير العالمية الطبي بالمدينة- Claim this Profile
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Bio
Experience
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Alabeer Madinah مجمع العبير العالمية الطبي بالمدينة
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Saudi Arabia
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Wellness and Fitness Services
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1 - 100 Employee
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claims and approval manger
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2020 - Present
Receiving the clients with different complaints & verifying what is needed either approval confirmation or scope of coverage of the insurance, verifying the uncovered services, updating for the justification of extensions for the inpatient cases. Helping the clients to get easy procedures i.e consultation, services, medicines.....etc. Visiting the inpatient section to fulfill the missing required documentation to have complete justification for the length of stay. Monitoring the approval process with the approval department. Preparing the referral letters for services that are not available in our hospital. Show less
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Alabeer Madinah مجمع العبير العالمية الطبي بالمدينة
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Saudi Arabia
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Wellness and Fitness Services
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1 - 100 Employee
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Assistant claim manager
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2017 - 2018
Help in insurance claims processing and issue on time assigned in our contracts with insurance companies. Maintenance of companies policies on C.MED, addition, amendments and any action that may arise on a daily basis that needs change on company policies. Assist in building in a healthy and constructive work environment for the staff and share in the development of staff knowledge and experience Help in insurance claims processing and issue on time assigned in our contracts with insurance companies. Maintenance of companies policies on C.MED, addition, amendments and any action that may arise on a daily basis that needs change on company policies. Assist in building in a healthy and constructive work environment for the staff and share in the development of staff knowledge and experience
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Andalusia Group for Medical Services
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Saudi Arabia
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Approval and Assistant claim manager
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2010 - 2017
Receiving the clients with different complaints & verifying what is needed either approval confirmation or scope of coverage of the insurance, verifying the uncovered services, updating for the justification of extensions for the inpatient cases. Helping the clients to get easy procedures i.e consultation, services, medicines.....etc. Visiting the inpatient section to fulfill the missing required documentation to have complete justification for the length of stay. Monitoring the approval process with the approval department. Preparing the referral letters for services that are not available in our hospital. Help in insurance claims processing and issue on time assigned in our contracts with insurance companies. Maintenance of companies policies on Oasis, addition, amendments and any action that may arise on the daily basis that needs change on companies policies Show less
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Madrka polyclinic in Makkah
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Saudi Arabia
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Manager of polyclinic
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2008 - 2010
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Ministry of Health & Population - Egypt
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Egypt
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Government Administration
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700 & Above Employee
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General practitioner and Family planning
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1990 - 2008
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Education
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Medicine and surgery, Alexandria University(Faculty of medicine )
good, General practitioner