Ahmed Ali Ahmed Omer

•Evaluate pre-authorization and medical claims based on SAICO Insurance guidelines.

•Analyze medical reports, prescriptions, and procedures to determine policy coverage.

•Communicate with hospitals, clinics, and medical providers to verify medical necessity.

•Ensure compliance with CHI regulations and internal policies. •Resolve claim disputes by investigating discrepancies and providing justified decisions.

•Utilize claims management systems to process approvals efficiently.

• Performed physical exams on patients, continuously communicating about patient needs and comfort levels.
• Managed chronic conditions effectively by creating tailored long-term care plans for individual patients.
• Improved patient satisfaction by providing comprehensive and empathetic care during consultations.
• Educated patients on treatment options for various illnesses, collaborating with specialists to provide thorough education.
• Conducted thorough physical examinations for accurate diagnoses, leading to better treatment options for patients.
• Reviewed patient records, medications and immunization statuses.

• Demonstrated adaptability by swiftly rotating through multiple departments, broadening clinical skills and expertise across various specialties.
• Managed time effectively, prioritizing patient care while balancing administrative tasks and educational requirements.
• Ensured accuracy of patient records by diligently updating their information after every consultation or procedure.
• Evaluated patient progress throughout treatment plans, adjusting strategies when necessary to ensure optimal health outcomes.