SHAFEEK PAZHAMKULATHINGAL SULAIMAN
JEDDAH,Saudi Arabia
Summary
Experienced healthcare professional with extensive knowledge of health care systems, healthcare coordination, and claims processing. Proficient in the ICD-10 coding system, ensuring accurate and efficient medical coding. Committed to optimising healthcare operations and improving patient outcomes through meticulous attention to detail and a thorough understanding of industry standards.
Overview
15
15
years of professional experience
1
1
Certification
Work history
MEDICAL INSURANCE COODINATOR
SHIFA AL MUNTHAZA MEDICAL SERVICE CO.
JEDDAH, SAUDI ARABIA
04.2018 - Current
- Coordinated with insurance companies, ensuring smooth claim processes.
- Submitted accurate insurance claims using specialised software applications within stipulated timeframes.
- Reviewed denied claims, submitted appeals when necessary to secure payments.
- Successfully delivered on tasks within tight deadlines.
- Increased customer satisfaction by resolving issues.
- Enhanced client understanding by explaining complex medical insurance policies in simple terms.
- Maintained updated knowledge of changing government regulations affecting health insurance for best practice delivery.
- Streamlined underwriting processes to maximise efficiency and productivity.
APPROVALS AND INSURANCE COODINATOR
AL NOOR MEDICAL CENTER
JEDDAH, SAUDI ARABIA
03.2015 - 04.2018
- Identified risks and recommended appropriate coverage to minimise losses.
- Provided detailed reports on claim trends to management team.
Shop manager
AL TARBOOSH BROASTED
Jizan, Saudi Arabia
04.2013 - 03.2016
- Oversaw daily shop operations, ensuring smooth running of business activities.
- Tracked sales targets regularly, adjusting strategies as necessary for maximum profitability achievement.
Shop manager
Classic Computers
Ottapalam,Kerala, India
02.2011 - 04.2013
- Increased customer satisfaction by resolving issues.
- Troubleshot hardware and software faults, allowing for quick resolution and minimal disruption to users.
Education
Bachelor of Commerce - Commerce
NATIONAL COLLAGE
INDIASkills
- Health care systems knowledge
- Healthcare coordination
- Claims processing
- ICD-10 coding system
Languages
English
Fluent
Arabic
Advanced
Hindi
Native
Malayalam
Native
Tamil
Native
Urdu
Upper intermediate
Affiliations
- Learning new technologies
Certification
- CERTIFICATE FOR COMPLETION IN NPHIES
- Basics of Medical Billing & Coding
- Medical Billing and Coding: ICD 10 and 11
- Diploma in Medical Coding and Billing
- Basic Life Support (BLS)
Timeline
MEDICAL INSURANCE COODINATOR
SHIFA AL MUNTHAZA MEDICAL SERVICE CO.
04.2018 - Current
APPROVALS AND INSURANCE COODINATOR
AL NOOR MEDICAL CENTER
03.2015 - 04.2018
Shop manager
AL TARBOOSH BROASTED
04.2013 - 03.2016
Shop manager
Classic Computers
02.2011 - 04.2013
Bachelor of Commerce - Commerce
NATIONAL COLLAGE