MICROSOFT OFFICE
SAID IBRAHIM
MEDICAL CLAIMS AUDITOR , HEALTH INSURANCE DOCTOR ,MEDICAL APPROVAL DOCTOR
Cairo
Summary
Innovation skills, strong personality, team player, works under pressure, problem solver, possess excellent communication skills, self-motivated, and ambitious. Sound knowledge of all medical insurance policies and billing policies Excellent Relationship Building skill ,Insurance claims adjudication
Overview
25
25
years of professional experience
2
2
Languages
Work History
DERMATOLOGY Resident Doctor
EGYPTIAN MOH HOSPITALS
03.2004 - Current
- Diagnosed and treated patients suffering from chronic conditions.
- Delivered high-quality care under pressure during emergency situations, stabilizing critically ill patients for further treatment.
- Efficiently managed time spent between clinics duties, administrative responsibilities, and professional development activities.
- Contributed to quality improvement initiatives within the department, enhancing overall patient care standards.
Medical Claims Supervisor
MOHAMED ALDOSSARY HOSPITAL
07.2014 - 01.2022
- Coordinated cross-functional teams to address key areas of concern in the claims process.
- Assisted in the development of company-wide best practices for medical claims management, increasing overall efficiency.
- Negotiated favorable settlement terms with healthcare providers, reducing financial liabilities for the organization.
- Championed continuous improvement initiatives within the department, leading efforts aimed at operational excellence.
Health Insurance Claims Adjudicator
Saudi German Hospital
12.2011 - 12.2013
- Supported growth in business revenue by maintaining an exceptional standard of accuracy in the adjudication process.
- Assisted in the development and implementation of new policies and procedures to improve overall claims adjudication processes.
- Increased productivity within the team by sharing expertise on complex cases, fostering a collaborative work environment focused on continuous improvement.
- Contributed to departmental success by proactively identifying process inefficiencies and recommending solutions for improvement.
Medical Insurance Specialist , APPROVAL MANAGER
ALDAR HOSPITAL
09.2008 - 09.2010
- Fostered a culture of continuous improvement, actively seeking opportunities to enhance the effectiveness of the approval management system.
- Developed customized training programs for staff members, equipping them with essential skills required for efficient processing of applications for approval.
- Spearheaded change management initiatives aimed at enhancing overall organizational effectiveness in managing approvals across various functions.
- Improved communication between departments through clear, concise documentation of approval guidelines.
General Practitioner
EGYPTIAN MOH HOSPITALS
03.2000 - 03.2004
- Developed personalized treatment plans for patients, ensuring optimal health outcomes.
- Promoted preventive healthcare measures through regular check-ups, immunization programs, and patient education on healthy lifestyle choices.
- Stayed current on medical advancements through continuous professional development opportunities such as workshops, conferences, and online courses.
- Focused on early detection of potential health issues through routine screenings and assessments, resulting in timely interventions when needed.
Education
DIPLOMA OF INSURANCE - HEALTH INSURANCE
THE CHARTERED INSURANCE INSTITUTE
UK 04.2001 -
Bachelor of Medicine & SURGERY - MEDICINE AND SURGERY
FACULTY OF MEDICINE ,ALAZHER UNIVERSITY
Cairo, Egypt 04.2001 -
Skills
Chronic disease management
Intervention procedures
Medication management
Critical care management
Software
ICD 10 -AM CODING
FOOTBALL PLAYING
FOOTBALL PLAYING ,CENTER HALF PLAYER
Timeline
Medical Claims Supervisor
MOHAMED ALDOSSARY HOSPITAL
07.2014 - 01.2022
Health Insurance Claims Adjudicator
Saudi German Hospital
12.2011 - 12.2013
Medical Insurance Specialist , APPROVAL MANAGER
ALDAR HOSPITAL
09.2008 - 09.2010
DERMATOLOGY Resident Doctor
EGYPTIAN MOH HOSPITALS
03.2004 - Current
DIPLOMA OF INSURANCE - HEALTH INSURANCE
THE CHARTERED INSURANCE INSTITUTE
04.2001 -
Bachelor of Medicine & SURGERY - MEDICINE AND SURGERY
FACULTY OF MEDICINE ,ALAZHER UNIVERSITY
04.2001 -
General Practitioner
EGYPTIAN MOH HOSPITALS
03.2000 - 03.2004