Experience

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  Dar Al Shifa Hospital

  • Kuwait

  • Customer Service Team Lead

    • Sep 2022 - Present
    • Kuwait

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  Turkish Hospital

  • Qatar
  • Hospitals and Health Care
  • 200 - 300 Employee

  • Revenue Cycle & Billings-Insurance Team Manager

    • Dec 2018 - Feb 2019

    Revenue Cycle Manager/Medical Insurance Operations.-Responsible for Reconciliation process with Insurance and TPA companies.

  • Assistant Team Manager

    • Dec 2018 - Jan 2019

     To Obtain Approvals for OP and IP round the clock & providing proper information to the concerned doctors and & patients (along with related queries of insurance companies To provide comprehensive information to new doctors regarding insurance coverage and address their related queries To coordinate approval status of the inpatients with the actual approval taken by counter checking the IP bill To coordinate appropriately with the concerned staff and patient for any patient transfers To address and software related queries of staff with approvals/ deletion of any charges To train any new recruits in insurance front office and clearing any doubts related to insurance. Making duty roaster of front office staff

  • Billing & Insurance Coordinator

    • Jan 2017 - Dec 2018

    Roles and Responsibilities:• Perform data entry and filing to record patient and insurance data• Confirm insurance coverage with insurance companies by diagnostic and procedural codes• Perform concurrent review of records or claim forms to verify proper documentation of principle diagnosis and secondary diagnosis including conditions qualifying as complications or co-morbidities based on ICD coding guidelines• Perform processing and obtaining prior authorization for current out-patient procedures, emergency services and elective in-patient surgeries, also ensuring cost estimates are accurately prepared for all services based on CPT/HCPCS billing rules in the appropriate time required• Determine the reasons for denied claims and re-submit or follow up with insurance companies on timely basis to proprietary and medical necessity of services by the facility• Corrective measures and education imparted to physicians and patient administrators as required to obtain and enter accurate benefit information to positively impact insurance processing and minimize rejections• Ensure accurate notation of progress made on follow up of all required paper work in a concise manner• Responsible for assisting patients with the processing of insurance claims and coordinating with insurance companies and TPA for getting the required claims approval and keeping its proper records• Screening of invoices for accuracy, coding eligibility, non-covered services, compliance, regulatory and insurance rules/accurate approvals are attached• Keep updated on changes in insurance policies and protocols• Maintaining confidentiality with regards to any information exchanged or received in accordance with facility policy

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  Centre International Carthage Médical Monastir

  • Gouvernorat de Monastir, Tunisia

  • Medical Billing Specialist

    • Jan 2014 - Sep 2016
    • Gouvernorat de Monastir, Tunisia

    préparer et verifier les prestations et les factures finals des patient avant leurs sortie de la clinique

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  clinic EL YOSR

  • Gouvernorat de Sousse, Tunisia

  • Medical Coordinator

    • May 2011 - Sep 2013
    • Gouvernorat de Sousse, Tunisia

    -patients registration-prepare the final invoices-coordinate with the medical stuff and doctors -make/answer calls-cashier