SHOUQ ALSHOSHAN
Dammam,Eastern Province
Summary
An Insurance Specialist in a hospital plays a crucial role in ensuring accurate and timely processing of insurance claims and benefits. This role bridges the gap between healthcare providers, patients, and insurance companies to guarantee financial coverage, minimize claim denials, and optimize hospital revenue cycles.
Overview
3
3
years of professional experience
Work history
Insurance Specialist
Arrawdha General Hospital -Flyadeal
Dammam, Saudi Arabia
01.2024 - 01.2025
● I have extensive experience with the NPHIES platform under the Health Insurance Council, working with services and initiatives to improve healthcare quality.
- Verify patients' insurance coverage and benefits to ensure accuracy in billing and reimbursement Processes
Trainer
Aletihad
Dammam, Eastern Province
06.2022 - 08.2022
- Trained at Aletihad cooperative insurance company and learned lot about contracts and wort environment policy
Education
Diploma of Education - Financial sciences and insurance
Lmam Abdulahman Bin Faisal University
Dammam, Eastern Province /2018 - /2020
Skills
- Strong knowledge of insurance plans
- Excellent communication and problem-solving skills
- Experience with claim appeals and denials management is plus
- Submit accurate insurance claims to payers
- Follow up on unpaid or denied claims and work( with providers or patients to resolve issues
- Maintain detailed records of claims, payments, and correspondence with insurers
- NPHIES platform under Health Insurance
- Attention to detail and ability to manage multiple cases
Timeline
Insurance Specialist
Arrawdha General Hospital -Flyadeal
01.2024 - 01.2025
Trainer
Aletihad
06.2022 - 08.2022
Diploma of Education - Financial sciences and insurance
Lmam Abdulahman Bin Faisal University
/2018 - /2020
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