MOHAMED FAHMI

-Oversaw the end-to-end revenue cycle process, including billing, collections, coding, and reimbursement strategies, for the Healthcare Alliance medical company with 200 beds.

- Led a team of 6 revenue cycle professionals, providing guidance, training, and performance evaluations to ensure efficiency and effectiveness.

- Collaborated with cross-functional departments to identify and implement process improvements, resulting in reduced claim denials and decreased accounts receivable days.

- Developed and maintained key performance indicators (KPIs) to monitor revenue cycle metrics, identified trends, and implemented corrective actions to address variances.

- Implemented revenue cycle technology solutions, such as [EHR/EMR integration, and revenue cycle management software, resulting in enhanced data accuracy and streamlined workflows.

- Ensured compliance with healthcare regulations (CCHI, SBS, guidelines, etc.) and participated in audits, consistently achieving high marks for accuracy and adherence to industry standards.

-Conducted in-depth analysis of revenue cycle processes, identified inefficiencies, and recommended process improvements that led to an increase in clean claim submissions.

-Collaborated with coding and billing teams to improve documentation practices, reducing claim rejections due to coding errors.

- Assisted in implementing a new revenue cycle management system, providing subject matter expertise and ensuring a smooth transition.

- Prepared and presented reports on revenue cycle performance to senior leadership, outlining key trends, challenges, and opportunities for improvement.

• Negotiating with insurance companies regarding reconciliation
• Payments, and other requirements
• Reviewing insurance claims to ensure accuracy as per agreement, prior to dispatch to respective insurance companies
• Reduce the level of claims rejection and provide necessary justification to insurance companies as needed
• Escalate complicated and suspected fraud cases (In-House) to higher management to minimize fraudulent claims
• Contributing in developing, updating, and implementing the guidelines for evaluationand processing of medical claims, as well as policies and procedures and work instructions related to medical claims review and processing
• Reporting critical issues to Management and submits monthly aging and other reports to line managers and Accounts
• Designing, updates, and implements policies, procedures, and protocols to ensure efficiency and accuracy in insurance operations
• Monitoring insurance discounts and rejections and prepares and submits periodic reports to the Finance Manager for review
• Ensuring that the insurance schemes are up to date on the system
• Conducts departmental meetings with staff for updates and to educate them on new work methods
• Issue account balances confirmation requests and obtains replies and analyses variances
• Coach and mentor staff as appropriate to improve performance and ensure they keep abreast of technical developments, relevant regulations and industry best practice.

• Prepare monthly claims to participating insurance companies on a monthly basis
• Responsible for responding the rejected claims by insurance companies for both out inpatients from a financial view
• Providing all the departments with daily and monthly reports upon their requests regarding
• Insurance Department accounts
• Preparing monthly billing statement for participating insurance companies
• Preparing monthly reports to determine whether the financial information generated is accurate
• Preparing account receivable duties and assist with preparing the hospital budget
• Preparing financial statement on a monthly basis for participating insurance co.'s
• Respond promptly to customer inquiries
• Obtain and evaluate all relevant information to handle inquiries and complaints

• As a tax accountant, I was assigned in various types of engagements as a part of a teamwork for the biggest companies in Cairo
• Responsible for any tax inspection for corporate tax
• Responsible for any tax inspection for payroll and wages tax
• Handle all tax returns
• Consultant for various cashier's explanations concerned with withholding tax

• Handle all orders between Miraco Carrier co
• And our international suppliers
• Inspect all requires from management and convert it to purchase order
• Make agreement between our international suppliers and shipping