Summary
Overview
Work History
Education
Skills
References
Personal Information
Training
Timeline
Generic
Ezaldeen Saleh

Ezaldeen Saleh

Riyadh

Summary

Motivated professional seeking a role in medical insurance and billing that leverages my educational background and specialization, while offering opportunities to develop expertise and contribute to claim resolution and revenue cycle success.

Overview

18
18
years of professional experience

Work History

Claims Manager

Dr.Mohammed Al Fagih Hospital
11.2024 - Current
  • Documented and communicated timely claims information while supporting accurate outcomes.
  • Handle the claims from beginning to end.
  • Determined proper course of action for claims processing.
  • Monitoring Nphies platform activities from the submission till closing with insurance company.
  • Supervised claims staff and billing coordinators, overseeing daily operations and ensuring compliance with hospital and insurer protocols.

Claim Submission Manager

Almoosa Specialist Hospital
11.2020 - 10.2024
  • - Handle the claims from beginning to end.
  • - Managed and oversaw the processing of insurance claims.
  • - Monitoring billing activities, performance management, and production standards and quality of results.
  • - Providing technical assistance to staff to initiate billing to all appropriate payer types.
  • - Analyzes data for bill presentation based on requirements and reviews claims for quality.
  • - Stays up to date on State regulations and implements changes regarding claims and billing requirements.
  • - Monitoring Nphies platform activities from the submission till closing with insurance company.

Billing Supervisor

Istiklal Hospital
06.2018 - 04.2020
  • - Perform patient billing and reporting activities in a timely fashion.
  • - Review patient accounts to identify delinquent and due accounts.
  • - Follow collection procedures to receive the payments.
  • - Utilize computer software to process, print and e-mail patient Medical bills.
  • - Contact insurance companies for claim processing and Reimbursements.

Contract Manager

Global Medical Solution (Healthcare Company)
10.2007 - 03.2018
  • Ensure all payments to suppliers, staff, and other external parties Are made according to company policies and procedures.
  • Analyze revenue and expenditure trends and recommend Appropriate budget levels, and ensure expenditure control.
  • Increased data accuracy by monitoring changes and promptly Correcting variances.
  • Followed-up with staff management and vendors to track any Resolve errors.
  • Assist in development and implementation of new procedures and Features to enhance the workflow of the department.

Education

Bachelor - Finance

Yarmouk University
01.1999

Skills

  • HIS System
  • Nphies Platform
  • Revenue Cycle Management (RCM)
  • Team Leadership & Staff Supervision
  • Planning and organization
  • Team management

References

References available on request.

Personal Information

Training

  • RCM Training Course. TIOMEC Dec 2020 - Dec 2020
  • Saudi Op Coder Knvibility Jan 2022 - Apr 2023

Timeline

Claims Manager

Dr.Mohammed Al Fagih Hospital
11.2024 - Current

Claim Submission Manager

Almoosa Specialist Hospital
11.2020 - 10.2024

Billing Supervisor

Istiklal Hospital
06.2018 - 04.2020

Contract Manager

Global Medical Solution (Healthcare Company)
10.2007 - 03.2018

Bachelor - Finance

Yarmouk University

Similar Profiles

CREATE PROFILE
Ezaldeen Saleh