فادي جمال

● Accurately processing and rectifying provider-paid claims adhering to Bupa Global policies.

● Liaising with internal departments to gather necessary information for complete claim processing and
ensuring compliance with Bupa Global policies and rules.

● Delivering high-quality customer service to providers, empowering them with efficient tools for claim
submission and payment tracking to ensure a seamless customer journey.

● Collaborating with Healthcare Management teams to improve overall provider relationships and address
relevant concerns.

● Recognized as the Employee of the Quarter for Q1 & Q3 in 2023 for leading several initiatives aimed at
improving the documentation and workflow of the team's daily operations.

● Assisted in training four new team members, ensuring a smooth integration and prompt achievement of
productivity and quality goals in collaboration with the coaching team.

● Efficiently processed & documented claims from providers with speed & accuracy.

● Conducted thorough audits of medical approvals, adhering to coverage guidelines.

● Proficiently utilized CPT, ICHI, & LOINC coding systems for accurate procedure mapping.

● Acquired expertise in precise ICD-10 medical condition coding using digital tools.

● Typed incoming prescriptions remotely before their filling and dispensing to the patients in the pharmacy.

● Billed patients’ insurance or contracted facilities based on the pharmacy’s internal rules and regulations.

● Communicated with insurance companies and contracted facilities to correct the rejected claims.

Worked to design, develop and manufacture a 3D printed microfluidic device to encapsulate mammalian cells in biocompatible beads to provide a better platform for in vitro drug discovery.

● Started up a community pharmacy, obtaining necessary licenses, setting up inventory, and hiring staff.

● Ensured consistent stock levels through access to multiple suppliers.

● Oversaw and trained undergraduate pharmacy students and freshly graduated pharmacists.