RCM Approval Supervisor
Saudi German Hospital Group
Total years of experience :12 years, 8 Months
Manage all patient requests: This includes inpatients, outpatients, and medication inquiries.
Provide technical support: Assist the team with resolving technical issues.
Monitor SLAs and daily productivity: Ensure adherence to service level agreements and track team output.
Track KPIs: Monitor key performance indicators to measure success.
Handle claims inquiries: Address enquiries from the claims department.
Schedule the team: Create and manage the teams work schedule
Manage all patient requests: This includes inpatients, outpatients, and medication inquiries. Provide technical support: Assist the team with resolving technical issues. Monitor SLAs and daily productivity: Ensure adherence to service level agreements and track team output. Track KPIs: Monitor key performance indicators to measure success. Handle claims inquiries: Address enquiries from the claims department. Schedule the team: Create and manage the teams work schedule
Project: Workflow Optimization at Saudi German Hospital - Dubai (1 month) Goal: Enhance operational efficiency and staff productivity. Activities: Conduct workload analysis to identify bottlenecks and areas for improvement. Develop and document new workflows to streamline processes. Establish key performance indicators (KPIs) for the approval team to measure success. Collaborate with team to reallocate workload and ensure optimal resource utilization. Secure team and management approval for proposed workflow changes.
Newcomer & Project Onboarding:
Develop training materials: Create resources to equip new employees and launch them on new projects effectively.
Workforce Management:
Workload analysis: Evaluate team workload to ensure efficient distribution of tasks.
Team scheduling: Craft and manage schedules for optimal team performance.
Performance & Quality:
Daily SLA & Productivity monitoring: Track adherence to service level agreements and team output.
Individual quality check (Approvals & Rejections): Implement a system for individual review of approvals and denials to ensure accuracy.
Chronic Medication Management:
Chronic medication posting for new policies: Update systems with new policies regarding chronic medications.
Chronic medication revision for existing modules: Revise existing modules to reflect changes in chronic medication policies.
Strategic Initiatives:
Cost control projects.
Patient support programs.
Newcomer & Project Onboarding: Develop training materials: Create resources to equip new employees and launch them on new projects effectively. Workforce Management: Workload analysis: Evaluate team workload to ensure efficient distribution of tasks. Team scheduling: Craft and manage schedules for optimal team performance. Performance & Quality: Daily SLA & Productivity monitoring: Track adherence to service level agreements and team output. Individual quality check (Approvals & Rejections): Implement a system for individual review of approvals and denials to ensure accuracy. Chronic Medication Management: Chronic medication posting for new policies: Update systems with new policies regarding chronic medications. Chronic medication revision for existing modules: Revise existing modules to reflect changes in chronic medication policies. Strategic Initiatives: Cost control projects. Patient support programs.
Managing outpatient services & Medications approval on daily bases. 09/2019 to 06/2021 Cairo, Egypt
Chronic medications revision & Posting. Answering enquires for call center agents & customers enquires. Monitoring SLA during shifts.
Managing medications approvals through online system & Calls. Managing Outpatients services approval through Online system & Mails. 11/2018 to 09/2019 Cairo, Egypt
Managing medications approval through mail & Calls. Managing monthly chronic medications dispensing.
Provided patient counselling regarding OTC medications. Cairo, Egypt
06/2016 to 04/2018 Cairo, Egypt Checked counts and dosage accuracy on prescriptions before releasing medication to patients to avoid medical complications. Dealing with Credit patients (Insurance section).
Performance Management Customer Service Data collection and analysis Inspiring leadership Excel expertise
Bachelor degree in Pharmaceutical Industries form Cairo university ,Egypt.