Insurance Coordinator
Aldara Hospital and Medical Center
Total years of experience :10 years, 2 Months
Proudly won the startup of the Insurance department and earned the insurance contracts with the major insurance companies.
Succeeded in the implementation of the new MDS templates in the system which is mandatory for the claim submission.
Oversaw the integration of Waseel, DHS systems with current Internal system.
Guided the IT team on the implementation of the Insurance Contracts in the system while keeping in view the latest CCHI regulations.
Oversaw the VAT implementation for Non-National patients and exclusions on the pharamcy items.
Organized the Insurance department to efficiently work on the insurance process within the regulatory specified time lines.
Minimised the claims rejection and maximised the approvals.
Boosted the revenue cycle team in term of their day to day tasks and commitments.
Transformed the daily revenue collection process from the front desk staff.
Upgraded the current system to a fully automated system to meet the clinical, Insurance and revenue cycle requirements.
Introduced the reward program in RCM department to boost the insurance staff.
Trained the front desk staff to send pre authorisation request to the insurance companies through Waseel and DHS system.
Started the monthly claim submission and prepared the summary and statement.
Daily reconciliation with banks for the day to day transactions through POS Machines against CASH Revenue.
Monthly reconciliation with Insurance companies and final settlement.
A Bachelor Degree in general science, an Oracle Database Administration Certificate and a Diploma of English Language.