Suliman Mansour
Jeddah
Summary
Seeking a challenging administrative role in the healthcare industry where my expertise as a physician and psychiatrist who has been trained in the US with administrative, insurance, and healthcare industry management programs, can contribute to the efficient operation of healthcare organizations. With a strong background in clinical practice and a deep understanding of mental health, I aim to leverage my medical knowledge and administrative skills to support delivering high-quality patient care, optimize processes, and foster collaborative relationships among healthcare professionals. My goal is to utilize my unique blend of medical expertise and administrative acumen to positively impact the healthcare system and improve patient outcomes.
Overview
17
17
years of professional experience
14
14
years of post-secondary education
1
1
Certification
Work history
Medical Claim audit specialist
TCS Head of Medical Audit in the Medical Claims Department
Jeddah
01.2023 - Current
- Medical claims analyst identifying trends or patterns and conducting investigations to detect potential fraud or errors
- Reviewed coding and billing practices, ensuring compliance with policy guidelines and regulatory standard and providing recommendations for process improvements
- Assisting in developing claim policies and guidelines based on nafis standards and regulations.
Self Employed Psychiatrist (Virtual Clinic Consultations)
West Virginia University (WVU) Hospital
West Virginia, United state
12.2015 - 08.2018
- Conducted psych consultations and provided comprehensive psychiatric assessments for patients with diverse medical backgrounds, including expertise in Internal Medicine, Emergency Medicine, and Neurocritical Emergencies
- Offered individual and group psychotherapy sessions tailored to the specific needs of child, adolescent, adult, and addiction populations.
OBGYN resident Riyadh Military Hospital
Riyadh
10.2007 - 10.2008
- Provide direct patient care: Perform comprehensive obstetric and gynecological examinations, Evaluate and manage the common conditions in OBGYN, manage emergency cases in addition to performing surgical procedures
- Engage in patient counseling and education: Communicate with patients regarding their reproductive health concerns, treatment options, and women’s health.
Education
MBBS - Bachelor of Medicine, Bachelor of Surgery
King Abdulaziz University
06.2000 - 05.2007
MS-PREP - Master of Science in Pain Research, Education and Policy Program
Tufts University School of Medicine, Boston, MA
09.2012 - 05.2014
Research Fellow
Baylor College of Medicine in Houston TX
07.2016 - 05.2017
Behavioral Medicine and Psychiatry Residency and Child and Adolescent Fellowship - undefined
West Virginia University-Ruby Memorial Hospital Morgantown, WV
07.2017 - 05.2022
Skills
- Oral Communication
- Psychotherapy
- Presentation skills
- Medical management
- Leadership
- Problem solving
- Communication skills
- Problem-solving
Languages
English
Fluent
Arabic
Native
Certification
• Saudi Commission for Health Specialties (SCFHS) Lincens.
• Insurance Foundation Certificate Examination (IFCE).
• West Virginia Medical State License, Active.
• Advanced Cardiac Life Support (ACLS).
• ECFMG Certification USMLE STEP 1 , 2CK AND 2CS, USMLE STEP 3.
Custom
References available on request
Timeline
Medical Claim audit specialist
TCS Head of Medical Audit in the Medical Claims Department
01.2023 - Current
Behavioral Medicine and Psychiatry Residency and Child and Adolescent Fellowship - undefined
West Virginia University-Ruby Memorial Hospital Morgantown, WV
07.2017 - 05.2022
Research Fellow
Baylor College of Medicine in Houston TX
07.2016 - 05.2017
Self Employed Psychiatrist (Virtual Clinic Consultations)
West Virginia University (WVU) Hospital
12.2015 - 08.2018
MS-PREP - Master of Science in Pain Research, Education and Policy Program
Tufts University School of Medicine, Boston, MA
09.2012 - 05.2014
OBGYN resident Riyadh Military Hospital
10.2007 - 10.2008
MBBS - Bachelor of Medicine, Bachelor of Surgery
King Abdulaziz University
06.2000 - 05.2007
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