MOHAMED SALEM
Riyadh,Saudi Arabia
Summary
Licensed Pharmacist and Medical Insurance Professional with over 10 years of experience in pharmacy operations, medical insurance approvals, claims management, reimbursement processes, and healthcare customer support. Experienced in coordinating with insurance companies, reviewing and submitting claims, resolving approval and rejection issues, and training healthcare professionals on insurance procedures.
Overview
13
13
years of professional experience
Work history
Insurance Coordinator
Zahrat Alrwdah Pharmacies
07.2021 - Current
• Review and audit insurance claims before submission.
• Submit and follow up claims with insurance companies and TPAs
• Manage medical approvals and prior authorization requests.
• Resolve claim rejections and insurance-related issues.
• Train pharmacists on insurance policies and claim procedures.
• Coordinate with Bupa Arabia, Tawuniya, and GlobeMed.
• Monitor reimbursement cycles and improve operational efficiency.
Insurance Approval Specialist | July 2020 – June 2
Al-Dawaa Pharmacies
07.2020 - 05.2021
• Process and review medical insurance approval requests.
• Verify eligibility and insurance coverage.
• Communicate with insurance companies regarding approvals.
• Resolve approval-related issues and ensure timely processing.
Pharmacist
Farhan Al-Nader Pharmacies
, Saudi Arabia
01.2015 - 02.2020
Medical Representative
DBK Pharm
04.2014 - 11.2014
Pharmacist
Atlas Pharmacies
01.2014 - 03.2014
Pharmacist
Dr. Hanim Abd El Gani Pharmacy
07.2013 - 12.2013
Education
Bachelor of Pharmacy -
Al-Azhar University, Cairo,
Egypt /2008 - /2013
Skills
Insurance Coordination, Medical Insurance Approvals, Claims Processing, Claims Auditing, Prior Authorization, Reimbursement Management, Denial Resolution, Eligibility Verification, Staff Training, Advanced Microsoft Excel, Microsoft Office, Communication Skills, Problem Solving, Healthcare Administration
Languages
Arabic
Native
English
Advanced
Timeline
Insurance Coordinator
Zahrat Alrwdah Pharmacies
07.2021 - Current
Insurance Approval Specialist | July 2020 – June 2
Al-Dawaa Pharmacies
07.2020 - 05.2021
Pharmacist
Farhan Al-Nader Pharmacies
01.2015 - 02.2020
Medical Representative
DBK Pharm
04.2014 - 11.2014
Pharmacist
Atlas Pharmacies
01.2014 - 03.2014
Pharmacist
Dr. Hanim Abd El Gani Pharmacy
07.2013 - 12.2013
Bachelor of Pharmacy -
Al-Azhar University, Cairo,
/2008 - /2013