El-Sayed Gowshan

• Evaluated and settled complex insurance claims in strict timeframes.
• Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
• Implemented improvements in manual and electronic billing procedures.
• Affirmed or denied coverage fairly based on thorough investigations.
• Followed up with customers on unresolved issues.
• Conducted full claim investigations and reported updates and legal actions.
• Assured timely verification of insurance benefits prior to patient procedures or appointments.
• Checked documentation for accuracy and validity on updated systems.
• Communicated effectively with staff members of operations, finance and clinical departments.
• Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
• Prepared insurance claim forms or related documents and reviewed for completeness.
• Made contact with insurance carriers to discuss policies and individual patient benefits.
• Generated, posted and attached information to claim files.
• Processed and recorded new policies and claims.
• Maintained confidentiality of patient finances, records and health statuses.
• Notified insurance agents and accounting departments of policy cancellations and changes.
• Send Claims by electronic systems Such as DHS , Waseele.
• Good knowledge of the regulations of all insurance companies ,

the possibility of working on them in terms of coverage, approvals and sending claims.