Roaa Hejazi
Summary
Dedicated healthcare professional with a background in dentistry and expertise in case management, medical tourism, and insurance processes. Experienced in patient advocacy, financial coordination, and cross-cultural communication. Passionate about optimizing patient experiences and ensuring seamless medical journeys from admission to post-care. Adept at healthcare management, facilitating financial approvals, and collaborating with multidisciplinary teams to deliver high-quality patient care.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Case Manager
King Faisal Specialist Hospital’s Medical Tourism Project, Accumed
Riyadh
09.2024 - Current
- Patient Coordination & Assessment: Assess patient needs, review medical records, conduct orientations, and develop treatment plans for seamless care throughout their journey.
- Service & Resource Management: Arrange medical appointments, coordinate services, and secure necessary resources, including interpreters and escorts.
- Case Monitoring & Advocacy: Verify patient attendance, evaluate treatments, advocate for needed services, and provide crisis support.
- Patient Satisfaction & Support: Address concerns, provide personalized assistance, and enhance the overall patient experience.
- Interdisciplinary Communication: Maintain case notes, lead interdisciplinary meetings, and update medical teams, families and guarantors.
- Discharge & Travel Coordination: Plan post-discharge care, assist with travel arrangements, and ensure a safe return to the home country.
- Financial Coordination: Manage financial guarantees, liaise with guarantors, and ensure coverage for medical services.
Insurance Specialist
King Faisal Specialist Hospital’s Pre-Authorization RCM Project, Accumed
Riyadh
03.2024 - Current
- Review & Approve Requests: Assess medical service requests for insurance approval based on policy guidelines.
- Verify Patient Eligibility: Ensure treatments meet coverage requirements by reviewing medical records and physician recommendations.
- Coordinate Communication: Liaise with healthcare providers, insurers, and patients to facilitate approval
- Manage Denials & Appeals: Handle preauthorization denials, support appeal processes, and submit additional documentation as needed.
- Ensure Compliance: Maintain adherence to insurance regulations and hospital policies in all authorization processes.
- Maintain Accurate Records: Document approvals, denials, and communications for audit and reporting purposes.
- Support Workflow Efficiency: Collaborate with case managers, billing teams, and medical staff to prevent service delays.
General Dentist
Riyadh Hospital
Riyadh
12.2021 - 02.2022
- Patient Assessment & Diagnosis: Conduct comprehensive oral examinations, diagnose dental conditions, and assess the need for specialized maxillofacial treatments.
- Surgical Assistance: Support oral and maxillofacial surgeons in complex procedures, including tooth extractions, implants, and facial surgeries.
- Emergency Dental Care: Manage dental trauma cases, infections, and acute pain in collaboration with the surgical team.
- Imaging & Diagnostics: Interpret X-rays, CBCT scans, and other imaging to aid in diagnosis and treatment planning.
- Interdisciplinary Collaboration: Work closely with oral surgeons, orthodontists, and other specialists to provide integrated patient care.
- Patient Education & Counseling: Advise patients on oral hygiene, treatment options, and post-surgical care to optimize outcomes.
General Dentist
Olaya Medical Center
Riyadh
02.2020 - 11.2021
- Patient Assessment & Diagnosis: Conduct comprehensive oral examinations, diagnose dental conditions, and assess their needs
- Preventive & Restorative Care: Perform routine dental procedures, including fillings, extractions, root canals, and periodontal treatments.
- Surgical Assistance: Support oral and maxillofacial surgeons in complex procedures, including wisdom tooth extractions, implants, and jaw surgeries.
- Prosthodontic & Aesthetic Treatments: Design and fit crowns, bridges, dentures, and veneers for functional and aesthetic restoration.
- Imaging & Diagnostics: Interpret X-rays, CBCT scans, and other imaging to aid in diagnosis and treatment planning.
- Interdisciplinary Collaboration: Work closely with oral surgeons, orthodontists, and other specialists to provide integrated patient care.
- Patient Education & Counseling: Advise patients on oral hygiene, treatment options, and post-surgical care to optimize outcomes.
Vaccine Provider
Adeed HC
Riyadh
07.2021 - 08.2021
- Vaccine Administration: Safely prepare and administer COVID-19 vaccines following established protocols and dosage guidelines.
- Patient Assessment: Screen individuals for eligibility, contraindications, and potential adverse reactions before vaccination.
- Education & Counseling: Provide patients with information on vaccine benefits, side effects, and post-vaccination care.
- Emergency Response: Monitor patients for immediate adverse reactions and administer first aid or emergency care if needed.
- Documentation & Reporting: Accurately record vaccine administration details in medical records and report to health authorities.
- Cold Chain Management: Store, handle, and prepare vaccines according to manufacturer and health agency guidelines.
Intern
Prince Sultan Medical City
Riyadh
03.2018 - 06.2018
Intern
King Fahad Medical City
Riyadh
11.2017 - 02.2018
Intern
Princess Nourah Bint Abdulrahman University (PNU) Dental Clinics
Riyadh
06.2017 - 11.2017
Education
Level 6 Certification -
Seoul National University (SNU) Language Education Institute
Seoul, South Korea11.2023
Bachelor’s Degree - Oral and Dental Surgery
Princess Noura Bint Abdulrahman University
Riyadh, KSA07-2017
Skills
- Management
- Revenue Cycle Management
- Cross-Cultural Communication
- Process Optimization
- Risk Management
- Team Collaboration & Leadership
- Critical Thinking & Problem Solving
- Microsoft Office Suite
Certification
- Google Project Management Professional Certificate, 02/25
- Global Health Policy Online Course (Coursera), 01/25
- Risk Management (Doroob), 08/24
- Medical Tourism Online Course (Coursera), 06/24
- Revenue Cycle Management Online Course (Accumed), 05/24
- Effective Communication Skills & Patient Engagement, 11/22
Community Service
- Translator, Raphael Public Health Clinic, Seoul, South Korea, 05/22 - 10/22
- Organizer, Excellence in Dental Assisting Workshop, PNU, 11/19
Research And Publications
- Daabash R, Hejazi R, Abuhaimed H, Aldajan R, Alneami N, Alrubiqi M, Alruwais H. Educational program promoting oral health among pediatric cancer patients in Riyadh, Saudi Arabia.
- Hejazi R, Abuhaimed H, Aldajan R, Alneami N, Alrowais H, Algahtani F. The Effect of Whitening Toothpastes on Surface Roughness of Composite Resins.
- Hejazi R, Abuhaimed H, Alnweigi L. Importance of Rubber Dam Usage Among Saudi General and Specialized Dental Practitioners in Saudi Arabia.,
- AlMalki S, AlHelal A, AlAali K, Hejazi R, Abuhaimed H. Assessment of Total Occlusal Convergence for Crown Preparation: A Comparative Study. World J Dent 2020.
Languages
Arabic
First Language
English
Proficient (C2)
C2
Korean
Intermediate (B1)
B1
Timeline
Case Manager
King Faisal Specialist Hospital’s Medical Tourism Project, Accumed
09.2024 - Current
Insurance Specialist
King Faisal Specialist Hospital’s Pre-Authorization RCM Project, Accumed
03.2024 - Current
General Dentist
Riyadh Hospital
12.2021 - 02.2022
Vaccine Provider
Adeed HC
07.2021 - 08.2021
General Dentist
Olaya Medical Center
02.2020 - 11.2021
Intern
Prince Sultan Medical City
03.2018 - 06.2018
Intern
King Fahad Medical City
11.2017 - 02.2018
Intern
Princess Nourah Bint Abdulrahman University (PNU) Dental Clinics
06.2017 - 11.2017
Level 6 Certification -
Seoul National University (SNU) Language Education Institute
Bachelor’s Degree - Oral and Dental Surgery
Princess Noura Bint Abdulrahman University
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