Summary
Overview
Work History
Education
Skills
Certification
LANGUAGE
Timeline
Generic

ESRAA HAMDY

DUBAI

Summary

Experienced pharmacist with background in pharmaceutical care, customer service, and medical claims review in various healthcare settings. Proficient in ICD-10 and CPT coding, with expertise in medication dispensing, patient counseling, and managing high-volume inquiries. Demonstrated ability to improve patient health outcomes through meticulous practice and effective problem-solving skills. Skilled in medical sales and claims processing, emphasizing accuracy and efficiency in handling complex insurance claims.

Overview

17
17
years of professional experience
1
1
Certification

Work History

Medical Claims Reviewer

Petrogas Company
07.2017 - Current
  • Reviewed outpatient, inpatient, optical, and dental claims for accuracy and compliance.
  • Assessed medical records and supporting documents to validate claims effectively.
  • Determined compensation amounts based on policyholder coverage and services rendered.
  • Informed policyholders and healthcare providers about claim statuses to maintain transparency.
  • Collaborated with team members to promptly resolve discrepancies in submissions.
  • Gathered necessary documentation from clients to enhance processing efficiency.
  • Analyzed claim data to identify trends and improve workflow issues.
  • Ensured adherence to healthcare laws, regulations, and standards.

Pharmacist

Petrogas Pharmacy
11.2009 - 06.2017
  • Dispensed prescription medications while educating patients on safe and effective usage.
  • Provided comprehensive medication advice, including side effects and proper storage.
  • Managed chronic diseases by reviewing and adjusting medications for optimal adherence.
  • Collaborated with team members to improve workflow efficiency in pharmacy operations.
  • Oversaw daily operations of retail or hospital pharmacy to ensure high standards.
  • Reviewed prescriptions for accuracy and completeness before dispensing medications.
  • Interpreted physician orders to guarantee accurate medication preparation and delivery.
  • Administered immunizations according to established protocols and maintained compliance with drug laws.

Pharmacist

Ismailia General Hospital
05.2009 - 10.2009
  • Dispensed medications accurately to meet diverse patient needs at community pharmacy.
  • Consulted healthcare professionals regarding medication management and patient care strategies.
  • Conducted inventory management to maintain optimal stock levels for customer demands.
  • Assisted in training new pharmacy staff on operational procedures and protocols.
  • Maintained accurate patient records in compliance with regulatory guidelines.
  • Collaborated with team members to improve workflow efficiency within pharmacy operations.
  • Ensured timely medication dispensing while addressing patient inquiries and concerns.

MEDICALE SALES REPRESENTATIVE

SIGMA PHARMACEUTICAL INDUSTRIES
12.2008 - 09.2009
  • Developed relationships with healthcare professionals to promote product awareness and drive sales growth.
  • Delivered engaging product presentations and demonstrations to medical staff, enhancing understanding of offerings.
  • Analyzed market trends and competitor activity to inform strategic sales approaches and identify opportunities.
  • Collaborated with cross-functional teams to streamline processes and improve customer service efficiency.
  • Increased sales revenue by consistently meeting and exceeding sales targets through strong relationship building and product knowledge.

Education

Bachelor - Pharmaceutical Science

Zagazig University
05.2008

Skills

  • Time management expertise

  • Effective customer interaction

  • Collaborative teamwork

  • Strong focus on accuracy

  • Customer service excellence

  • Skilled in MS Office tools

  • Proficient in ICD-10, HCPCS, and CPT coding

  • Claims processing expertise

  • Problem solving abilities

  • Strong verbal communication

  • Decision making strategies

  • Knowledge of healthcare procedures

Certification

  • How to develop leadership skills?
  • Mastering influence and negotiation.
  • Working with difficult people.
  • Time management fundamentals.
  • Unlock business growth through relationships.
  • Medical coding.

LANGUAGE

Arabic native
English

Timeline

Medical Claims Reviewer

Petrogas Company
07.2017 - Current

Pharmacist

Petrogas Pharmacy
11.2009 - 06.2017

Pharmacist

Ismailia General Hospital
05.2009 - 10.2009

MEDICALE SALES REPRESENTATIVE

SIGMA PHARMACEUTICAL INDUSTRIES
12.2008 - 09.2009

Bachelor - Pharmaceutical Science

Zagazig University

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