I am a creative and enthusiastic professional with the ability to work on my own initiative, with minimal supervision, prioritizing and dealing effectively with several tasks simultaneously while focusing on accuracy and attention to detail. My aim is to find a rewarding opportunity in a multi-national healthcare organization renowned for its reputation beyond a trademark, satisfying my ambition to achieve its entire target. I am seeking a role where I can play a pivotal role, prove my certificates, experiences, and interpersonal skills, and contribute to the organization's goals.
Overview
21
21
years of professional experience
1
1
Certification
Work History
RCM Director
Saudi German Hospitals
09.2022 - Current
Oversaw revenue cycle management for multiple branches, ensuring consistent and efficient processes across regions.
Developed and implemented strategic plans to optimize revenue cycle operations, improving financial performance.
Collaborated with senior management to align RCM strategies with overall organizational goals.
Monitored key performance indicators to identify areas for improvement and implement corrective actions.
Led a team of RCM managers across various branches, providing guidance, training, and performance evaluations.
Enhanced patient satisfaction by streamlining billing and insurance processes, reducing claim denials, and improving collection rates.
Revenue Cycle Management Manager
Saudi German Hospitals
10.2020 - 09.2022
Established and managed relationships with medical insurance providers to draw a significant volume of business.
Achieved planned financial targets and enhanced the service portfolio for medical insurance patients.
Developed and expanded the network of medical insurance providers to meet business targets.
Drafted, reviewed, and executed contracts with medical insurance providers, ensuring efficient management and cash flow.
Oversaw claim preparation, submission, and follow-up to prevent revenue loss.
Supervised reconciliation of accounts with medical insurance providers.
Ensured submission of prior approvals online in compliance with CCHI regulations.
Delivered effective training for reception, call center, and medical staff on insurance coverage.
Addressed and resolved insurance patient complaints within the agreed timeframe.
Recommended service enhancements for insurance patients to top management.
Contributed to budget planning and forecasting for the clinic.
Handled and settled claim disputes.
Applied performance management and coaching procedures for team members.
Collaborated with HR on team learning and development.
Reconciliation Group Leader
Tawuniya Insurance Company
Riyadh
12.2018 - 09.2020
Implemented the reconciliation process including reviews, negotiations, and trend analysis for efficiency and cost reductions.
Liaised with key providers to ensure effective reconciliation processes.
Monitored staff achievements, conducted performance appraisals, and provided guidance and training.
Analyzed key provider billing and rejection ratios to detect variations.
Conducted regular meetings with key providers to discuss rejections and finalize reconciliations.
Coordinated with provider management for regular meetings to achieve business targets.
Ensured effective reconciliation plans with key providers.
Negotiated medical rejections with key providers to achieve recalculation ratios.
Complied with CCHI regulations and ensured timely payments as per plans.
Medical Specialist
Tawuniya Insurance Company
08.2010 - 11.2014
Optimized use of personal time and resources to meet standards for timeliness and quality.
Scrutinized bills/claims in accordance with policy coverage and contracts.
Worked in liaison with the approval center.
Ensured data on the system was coded accurately.
Produced finalized audit trails for claims.
Enhanced response times and improved service quality.
Volunteer Physician, Covid-19 Quarantine
Riyadh
04.2020 - 05.2020
Followed up with guests and patients under medical quarantine.
Provided medications with pharmacy coordination.
Coordinated with social services for patient issues.
Managed patient transfers with the Supervisor of Medical Quarantines.
General Surgery Resident
Ahmed Maher Teaching Hospital
01.2007 - 08.2010
Implemented remedial work for the surgical department.
Conducted patient history and clinical examinations.
Followed up on laboratory tests.
Maintained patient records and relations with medical and nursing staff.
General Practitioner
Ministry of Health and Population of Egypt
03.2006 - 12.2006
Worked in care units, maternal and child centers, and health offices.
Provided primary health care and family planning services.
Directed health care units.
House Officer
Kasr Al-Ainy School of Medicine, Cairo University
03.2005 - 02.2006
Provided patient care and follow-up.
Carried out remedial work and laboratory assignments.
Maintained patient relations and confidentiality.
Managed administrative functions and supervised house officers and nursing staff.
Education
Master's Degree - General Surgery
Ain Shams University
01.2010
Bachelor's Degree - Medicine and Surgery
Cairo University
01.2004
Bachelor's Degree - Health Informatics
Saudi Electronic University
01.2017
Certification
Insurance Foundation Certificate, Institute of Banking, Saudi Arabia, 2011-01-01
Award in General Insurance, Chartered Insurance Institute, UK, 2013-01-01
Principles of Takaful Certificate, Chartered Insurance Institute, UK, 2014-01-01
Professional Insurance Certificate, BIBF, Bahrain, 2014-01-01
Diploma in Insurance, Chartered Insurance Institute, UK, 2015-01-01
LOMA Life and Health Insurance Certificate, LOMA, USA, 2018-01-01
Personal Information
Age: 42
Notice Period: One month
Nationality: Egyptian
Marital Status: Married
Computer Training And Skills
ICDL Certificate for Microsoft Office and Internet
CompTIA A+ Certificate for Hardware and System Administration