Financial Information Analyst
Dr. Erfan & Bagedo General Hospital
Total years of experience :16 years, 7 Months
• Analyze financial information to produce forecast to be used in making investment decisions.
• Assemble spreadsheets and draw charts and graphs used to illustrate technical reports using computer.
• Evaluate and compare relative data received from various health service company affiliated in the hospital.
• Interpret data affecting investment program such as price, stability, future trends in investment risk and economic influences.
• Maintain knowledge and stay abreast of developments in the hospital finance and economic theory.
• Monitor fundamental financial development of the hospital through the analysis of information obtained from company sources and personal interviews.
• Prepare plans of action for investment based on financial analyses.
• Present oral and written reports to the administrative through the department heads.
• Track financial status by monitoring variances from plan.
• Determines financial status by comparing and analyzing plans with actual results.
• Analyzing results and variances, identifying trends and recommending actions.
• Reconciles transactions by comparing and correcting data.
• Increase productivity by developing automated applications, eliminating duplications and coordinating information requirements.
• Provides information to management by assembling and summarizing data, preparing reports and making presentations of findings, analyses and recommendations.
• Update knowledge by participating in educational opportunities, reading professional publications, maintaining personnel networks and participating in professional organization.
• Processing the insurance claims done by different technical evaluation groups.
• Statistical analysis of rejection from the various insurance companies.
Responsible for determining and updating the prices of various services, both on cash and credit.
Work with doctors and patients to reduce and maintain the unit cost of each claim and frequency of the patient’s visit for the benefit of hospital to get into open network category of the insurance companies.
Responsible and answerable for the quality of claims submitted to the insurance companies.
Direct coordination with insurance company via phone calls, online & though electronic systems for the insurance approvals.
Perform responsibilities of reviewing all enrollment forms and maintain patients’ confidential information.
Monthly quality check of reports with feedback, and devising action plans to ensure quality operation.
Ensure that the daily targets related to processing, are achieved so that the department meets its KPI (Key Performance Indicator).
Handle re-work, queries, issues and explanations regarding the statements.
MIS (Management Information System) Reporting.
Qualities Developed: independence, report writing and presentation abilities, decision-making
Claim Processing and Policy Updating
Collected and analyzed financial data.
Produced and presented regular reports for decision-makers.
Audited financial control processes.
Prepared regulatory documents.
Responsible for assisting insurance providers for the purpose of verifying eligibility of insurance claims and processing claims.
Work with doctors for determining the insurance coverage and payable claim amount.
Responsible and answerable on processing insurance claims, insurance coverage and billing procedures.
Direct coordination with insurance company via phone calls, online & though electronic systems for the insurance approvals.
Responsible for assisting patients by explaining insurance benefits through proper guidelines.
Worked on Medicure System for developing, billing, price updating and maintaining patient insurance details.
Perform responsibilities of reviewing all enrollment forms and maintain patients’ confidential information.
Monthly quality check of reports with feedback, and devising action plans to ensure quality operation.
Ensure that the daily targets related to processing, are achieved so that the department meets its KPI (Key Performance Indicator).
Handle re-work, queries, issues and explanations regarding the statements.
Held multifaceted responsibilities to configure, install and administer network infrastructure and telecommunications systems that supported staff of about 100 personals. Fulfilled administrative responsibilities including the addition and changes to user desktop, email accounts, Installed and configure servers. Carried out full installation of Cisco routers and cabling for routers, switches, hubs and new workspaces.
Spearheaded completion of 3 major upgaradation to bring systems up to dates.
Provided onsite engineering and technical support network systems. Designed to plan back up over 300 gigabytes of data. Established internet connectivity for 40 end users through Microsoft proxy server. Analyzed and troubleshot printers and format plotters.
Resolved multiple issues to network systems to increase business functionality.
Initiated network enhancements that reduced network downtime.
Interfaced with Hardware/Software Engineers to provide permanent Solutions to recurring issues.