Dr,Omer Ibrahim Ahmed FadlAlsied

• Supervising daily operations
• Ensuring all billing and collection procedures adhere to legal and health insurance policies
• Ensuring implementation of evidence-based practice guidelines
• Identifying issues in cycle process and implementing solutions
• Maintaining up-to-date knowledge of coding, and regulatory standards
• Reporting, Mapping & Reconciliation
• Created individualized care plans, ensuring personalized attention to each resident.
• Coordinated daily operations, streamlining workflow processes.
• Attend regular meetings with business partner
• Valuable contribution in Company as Trainer in Training Team for continuous growth of internal staff in various sectors
• Provide continuous guidance to all team members with MOH & CHI rules/regulations
• Monitor Insurance rejection percentage and to take measures/develop guidelines and suggestions to control rejection percentage
• Ensured compliance with health and safety regulations to maintain safe working environment.
• Devised strategies for efficient use of resources which led to cost reduction.

• Led project teams, achieving successful completion ahead of schedule.
• Monitored operations to assess and highlight results.
• Providing and training medical staff
• Consolidated financial reports for more informed decision-making.
• Supervised team members, ensuring high standard of work.
• Streamlined supply chain logistics for smoother operations.
• Management and provision of logistical pharmaceutical inventory
• Negotiated contracts with suppliers, resulting in cost savings.
• Pioneered innovative solutions, enhancing product performance.
• Strategy business plans to outperform competition.
• Tailored customer service strategies, improving client retention rate.
• Management and establishment of health events
• Providing health education to patient attending clinic, and regular FU
• Conducted market research for new product development.
• Enhanced customer satisfaction with prompt and effective problem resolution.
• Built strong rapport with stakeholders, establishing long-term partnerships.
• Managed financial budgets for reduced company expenditure.
• Maintained organizational compliance with applicable legislation and regulations.
• Set strategic plans to govern functioning of health service operations.
• Worked with board of directors to establish objectives and decisively lead operations.
• Formulated strategic plans with aim of expanding market share.

• Monitors quality of department workflow and audits medical justification of approvals
• Responds to agents' medical queries
• Drafts high cost cases and assists supervisors for complicated medical cases
• Works with Quality Lead in delivering departmental projects
• Working with assistant companies facilitating international OTN provider coverage
• Arranging second medical opinion for needed cases
• Develops new medical guidelines that can serve as team reference
• Direct communication with clients answering queries and drafting cases to obtain payers' approvals
• Keeping TAT replying to all cases received
• Attending professionally to all E-mails and telephone calls coming from members, brokers, clients and other departments
• Cost containment and screening for fraud and abuse
• Underwriting and initial assessment of need

Emergency Department: Covering ER, doing triage of patients and identifying life threatening conditions, providing initial assessment and management of ER patients including polytraumatized patient, ACS and arrhythmias according to ACLS guidelines

• Surgery department: Duties included tending to patient on ward, preparing patient for theatre, participating in theatre and covering on-call emergency duties
• Out Patient: Duties included but not limited to covering refer clinic, managing patient with diabetes complication, and adjusting medication levels, providing health education to patient attending clinic and regular follow up
• Also Short duties to cover cold area all type of non-emergency patient
• Improved patient care by conducting thorough medical histories.

• Managing medical unit and carrying out strategic medical tasks in region
• Leading medical staff
• Establishing and managing medical convoys for conflict and margin areas
• Restarting and maintaining water sources for villages of North, South and East Darfur
• Establishing field hospitals and treating patients with wide range of critical cases, surgery for patients who cannot be transferred to capital hospitals
• Control of bleeding, removal of foreign body, management of burns, fractures and all cases, evacuation of patients and aircraft-infected
• Obtaining Order of Courage, First Class, from President of Republic (2015)