Dr. Ahmed El-Saadani

• Nphies project management and CHI Champion for Magrabi hospitals and centers - CHI Excellence Award for Nphies 2022
• Improvement for RCM KPI for Average claim submission days and average receivable days or bad depts.
• Denial management and analysis related to medical claims and applying necessary correction related, with improvement for the initial rejection percentage
• Negotiation with insurance companies for contracts, billing, reconciliation and audit results
• Setting Insurance policies, procedures and training programs for all magrabi branches and staff
• Dealing with external party audit either governmental or from health insurance companies as for medical claims internal audit, CHI regulations compliance - No penalties applied
• Meeting CHI requirements, as a representative for my organization In regards to following regulations, executives list and updating them, added to head of new projects as Nphies, CHI Accreditation, Value based healthcare, DRG and clinical standard meeting projects
• Updating contracts and decrease of technical rejection percentage Improvement on claims billing, in regards to submission, re-submission and time frames and no matching differences
• Dealing with insurance companies concerns and customer experience to ensure solving ASAP
• Risk management and evaluation of health insurance companies contracts, with necessary recommendation to RCM committee for actions needed
• Clinical coding and mapping of contractual codes and validation process with Health insurance companies

• Rejection analysis/reply, Claim processing, Improving RCM claim submission days and average receivable days and lowing of initial rejection percentage with negotiation with Health-insurance companies
• Review of contracts and Improvement of RCM Approvals, Claims, Submission and re-submission
• Medical coding improvement and training of physician for mistakes to avoid Internal Medical and Claim audit, with sharing results with medical team for improvement
• Training and direction for insurance team for more improvement
• Designing reports to be collected for MDS with IT team to comply with reports related
• Provider relation with HIC for the organization and supporting on customercare for patients on magrabi branches

• Meeting target for budgeted revenue and improve customer experience
• Setting revenue budget, review, and give input on other budgets for Cost or manpower
• Share in Quality Improvement projects, and provide KPI with Analysis and commentary report for actions taken for improvement
• Share on marketing campaign planning or new contractual deals for branch to increase revenue related

• Best branch in regards to revenue and customer experience
• Dealing with patient complaints, customer feedback with analysis and actions for improvements
• Analysis of OPD and assisting on center KPI analysis and sharing commentary executive reports with corporate team

OPD services.

Ward following up of patients.

OR cases either as 1st or assisting surgeon.

Member of Quality committee, shared on closed review of medical files on JCI accreditation 2009 on SGH (2008- 2009).