Effective Medical Claims Processor with strong background building rapport with providers to discuss claim status or claim denials. Driven performer equipped to handle multiple administrative tasks effectively. Exemplary worker with highly investigative skills when processing claims.
Overview
2
2
years of professional experience
Work History
Medical Claims Processor
Allianz Partners
Cairo Egypt
11.2022 - 02.2024
Followed up on denied claims to verify timely patient payment and resolution .
Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
Managed large volume of medical claims on daily basis.
Researched and resolved complex medical claims issues to support timely processing.
Verified patient insurance coverage and benefits for medical claims.
Managed high caseload efficiently, prioritizing tasks based on urgency and importance to meet deadlines consistently.
Improved interdepartmental communication to expedite claims processing and foster a collaborative work environment.
Medical Sales Representative
Mundipharma pharmaceutical company
Cairo Egypt
10.2021 - 04.2022
myAnalyzed market to identify new opportunities and strengthen relationships with hospitals, medical centers and primary provider physicians.
Collaborated with sales team to develop targeted marketing strategies that boosted overall revenue growth.
Managed territory efficiently, effectively prioritizing visits to key healthcare providers and facilities.
Boosted sales performance through effective negotiation skills, customizing pricing plans according to client budgets while maintaining profitability.
Implemented successful marketing strategies for new product launches, resulting in high adoption rates among healthcare providers.
Expanded customer base through cold calling, networking, and relationship building.
Enhanced client satisfaction by addressing concerns promptly and providing exceptional service.
Self-motivated, with a strong sense of personal responsibility.
Excellent communication skills, both verbal and written.
Education
Bachelor degree of clinical pharmacy program -
Cairo University
01.2016 - 1 2022
Skills
HIPAA compliance awareness
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Extracurricular Activities
Product specialist, Mundipharma pharmaceutical company, 10/2021, 04/2022, Conducting thorough market research, which may include taking surveys, doing desktop research, sending emails and making calls., Answering all product-related questions in a polite manner and addressing queries promptly., Planning and assisting with new product releases and events.
Training
Completed CLINICAL NUTRITION training course
Completed INTENSIVE CARE UNIT training course
Completed Intensive Care Unit training course
Attended Seller skills session at Cairo University, 2018
Attended Emotional intelligence session at Cairo University, 2018
Completed entrepreneurship training (Sandoz) at Cairo University
Attended hands-on practical course on Nano drug delivery system.
INTERNATIONAL HEALTH INSURANCE CONSULTANT - POLICY MANAGEMENT at Allianz PartnersINTERNATIONAL HEALTH INSURANCE CONSULTANT - POLICY MANAGEMENT at Allianz Partners