Summary
Overview
Work History
Education
Skills
Personal Information
Timeline
Generic
Dr Mahmoud Sarhan

Dr Mahmoud Sarhan

RCM Executive
Riyadh

Summary

Specialist at Egyptian Fellowship board for family medicine

Overview

12
12
years of professional experience
4032
4032
years of post-secondary education
2
2
Languages

Work History

RCM Executive

Al Jazeera Hospital
08.2024 - Current
  • Managing the full revenue cycle management (RCM) process, including approvals, claims, denials and resubmission.
  • Directly reporting to the Business Center Director.
  • Implementing strategies to optimize RCM efficiency and minimize revenue loss.
  • Responsible for training and qualifying the insurance team with continuous updates from the Council of Health Insurance (CHI) or insurance companies to ensure the team stays updated with regulations.
  • Acting as a liaison between the insurance team and the medical team to identify recurring errors, address them, and prevent their recurrence, ensuring the highest level of efficiency in handling insurance claims.

Approvals Director

Al Jazeera Hospital
04.2023 - Current
  • Responsible for the entire approvals cycle to ensure smooth and efficient operations.
  • Overseeing medical approvals, ensuring compliance with policies and regulations.
  • Enhancing approval processes to improve efficiency and reduce turnaround time

RCM Supervisor

Saudi German Health Group
02.2020 - 02.2023
  • Led the Ministry of Health (MOH) unit to achieve exceptional performance and maximize revenue across all Saudi German Health (SGH) Group hospitals.
  • Developed and implemented strategies to enhance operational efficiency, ensuring compliance with MOH regulations.
  • Strengthened financial outcomes by optimizing approval and claims processes.

Team Manager Medical Claims

Gig Egypt
01.2020 - 01.2021


  • Managed medical and life claims unit, ensuring seamless claim processing.
  • Led a team to oversee approvals and resubmissions.
  • Worked closely with insurance providers for efficient claim resolution

Team Manager for Medical Services Unit

Gig Egypt
01.2019 - 01.2020
  • Supervised the medical services unit, optimizing claims and customer service.
  • Managed TPA supervision and ensured compliance with insurance regulations.

Specialist Family Medicine

Ministry Of Health , Egyptian Fellowship Board
01.2015 - 01.2020

Team Manager Onsite Doctors

Gig Life Takaful
01.2018 - 01.2019
  • Team Manager onsite medical services for all customers

Team Manager Onsite Doctors

EgyCare Healthcare Company
01.2017 - 01.2019
  • Managed a team of onsite doctors, ensuring high-quality medical service delivery
  • Responsible for all clinics portfolio , delivering medical services for around 9,000 employees

Team Manager Onsite Doctors

NextCare Healthcare Company
01.2015 - 01.2017
  • Leading onsite doctors team

Clinics Manager

Swiss In Resorts
01.2013 - 01.2015
  • Managing medical center at El Sokhna , Swiss In Resort , Red Sea , dealing with multinational insurance companies

Education

Family Medicine -

Egyptian Fellowship Board

Medicine and Surgery -

Zagazig University
11-2009

Medical Insurance - undefined

National Institute Of Insurance

Skills

  • TOEFL

  • Powerpoint

  • Excel

  • Word

Personal Information

Specialist Family Medicine , Egyptian Fellowship Board


Date of Birth: 08/11/86

Timeline

RCM Executive

Al Jazeera Hospital
08.2024 - Current

Approvals Director

Al Jazeera Hospital
04.2023 - Current

RCM Supervisor

Saudi German Health Group
02.2020 - 02.2023

Team Manager Medical Claims

Gig Egypt
01.2020 - 01.2021

Team Manager for Medical Services Unit

Gig Egypt
01.2019 - 01.2020

Team Manager Onsite Doctors

Gig Life Takaful
01.2018 - 01.2019

Team Manager Onsite Doctors

EgyCare Healthcare Company
01.2017 - 01.2019

Specialist Family Medicine

Ministry Of Health , Egyptian Fellowship Board
01.2015 - 01.2020

Team Manager Onsite Doctors

NextCare Healthcare Company
01.2015 - 01.2017

Clinics Manager

Swiss In Resorts
01.2013 - 01.2015

Medical Insurance - undefined

National Institute Of Insurance

Family Medicine -

Egyptian Fellowship Board

Medicine and Surgery -

Zagazig University
Dr Mahmoud SarhanRCM Executive