Khloud Hashish
Medical Coder and Auditor
Summary
Organized and detail-oriented Investigator dedicated to improving efficiency, productivity and profitability through continuous process improvement.
Most importantly one, a passion for what I do so I believe this dedication will lead to success in any environment.
Overview
5
5
years of professional experience
6
6
years of post-secondary education
3
3
Certifications
3
3
Languages
Work History
Claims Adjuster
Misr Healthcare
01.2024 - 08.2024
- Accurate review of claims coding for about 50 patient records daily with above 97 % quality.
- Communicate with healthcare providers to clarify missing or unclear data.
- Audit medical claims for accuracy and compliance with company policies to prevent the provider abuse with 100% percentage.
- Provide insights for quarterly audit review for taking the correct action toward the company network.
Medical Insurance Specialist and Pharmacy Manager
Haitham El Asfar pharmacy
03.2022 - 12.2023
- Handle claims and approvals for 8+ insurance companies, including AXA, Glob Med, MetLife, Misr Insurance, MedNet, and Med Right, ensuring timely processing and resolution.
- Manage 50-100 routine claims daily through the insurance systems, maintaining high level of accuracy.
- Secure preauthorization for 100% of eligible claims, reducing delays in service delivery and ensuring compliance with insurer policies
- Communicate with clients from various organizations for informing the deductible and coverage.
Hospital Pharmacist and Insurance Specialist
Dar-El Shefa hospital
07.2021 - 03.2022
- Responsible for Abd-Esalam Hegazy insurance clients and checking the coverage of each claim to avoid the abuse also the limit of benefits.
- Manage the dispensing of medications for the inpatient department, serving over 50 patients daily.
Community pharmacist
Sallam pharmacy
02.2020 - 01.2021
Education
Medical coding and Auditing Diploma -
Innovative Academy
08.2024 - 12.2024
Saudi Medical Insurance Course -
INNOVATIVE TRAINING ACADEMY
08.2024 - 11.2024
Alzheimer treatment with Phytotherapy-Master Student - undefined
Nantong university
09.2022 - 02.2023
Bachelor of pharmacy - undefined
Faculty of pharmacy - Tanta university
09.2016 - 06.2021
Skills
- Professional Coding
- Detail-oriented
- Familiarity with medical terminology
- Insurance programmed Systems
- Computer literacy
- Diplomatically Responder to pressure and problems
- Excellent Team player
- Highly motivated
Certification
CERTIFIED PROFESSIONAL CODER (AAPC)
Timeline
Medical coding and Auditing Diploma -
Innovative Academy
08.2024 - 12.2024
Saudi Medical Insurance Course -
INNOVATIVE TRAINING ACADEMY
08.2024 - 11.2024
Claims Adjuster
Misr Healthcare
01.2024 - 08.2024
Alzheimer treatment with Phytotherapy-Master Student - undefined
Nantong university
09.2022 - 02.2023
Medical Insurance Specialist and Pharmacy Manager
Haitham El Asfar pharmacy
03.2022 - 12.2023
Hospital Pharmacist and Insurance Specialist
Dar-El Shefa hospital
07.2021 - 03.2022
Community pharmacist
Sallam pharmacy
02.2020 - 01.2021
Bachelor of pharmacy - undefined
Faculty of pharmacy - Tanta university
09.2016 - 06.2021
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