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Hassan Mardini, Senior Resubmission Officer

Hassan Mardini

Senior Resubmission Officer·Ain Al Khaleej Hospital

United Arab Emirates

Bachelor's degree, Medicine

Work experience

Total years of experience: 15 years, 6 months

Senior Resubmission Officer

October 2014 - Present

Ain Al Khaleej Hospital

United Arab Emirates

October 2014 - Present

Take all the claims submission from insurance department every month. 
Check and download the XML Remittance Advice from HAAD and follow up for any missing remittance advice. 
Analyzing the rejection from the XML remittance Advice. 
Sort out the rejection as per denial reason. 
Sending the rejected claims for the respected doctors for justifying the claims if necessary
and follow up with the doctors within the specified time. 
Preparing rejected claims for resubmission. 
Submitted the claims with proper codes and format to insurance companies. 
Make sure that the final rejection is at its minimal level. 
Should meet the resubmission productivity targets within the stipulated time for all insurance companies.
Have a Very good knowledge in health insurance Authorization and coverage criteria for the different diseases with the different investigations .

Company industry:
Other Healthcare Services
Job role:
Administration

Resident Doctor

June 2012 - October 2014

Al Hussain University Hospital

Egypt

June 2012 - October 2014

Resident doctor in Cardiology department

Company industry:
Medical Clinic
Job role:
Medical, Healthcare, and Nursing

Medical Rep.

August 2010 - August 2011

ASIA for pharmaceutical Industries

Damascus, Syria

August 2010 - August 2011

2010 till date
Medical Representative
• Responsible for selling and marketing of Cardiology drugs
• Performs one-on-one meetings with pharmacist, doctors, and nurses
• Monitors the supply of drugs as well as inform doctors, pharmacist and nurses of the forthcoming changes
• Introduces new products of the organization
• Visits hospitals to meet with doctors to persuade them to purchase the products
• Compiles data on requirement and supplies products required by customers
• Arranges appointments with medical professionals like doctors and pharmacists to spread awareness about the drugs and medicines of the organization

Company industry:
Pharmaceutical Manufacturing
Job role:
Sales

GP

October 2009 - February 2010

Omaya Hospital

Syria

October 2009 - February 2010

General Practitioner

Company industry:
Medical Clinic
Job role:
Medical, Healthcare, and Nursing

Education

MISR misr university for science and technology

July 2009

July 2009

Bachelor's degree, Medicine

Egypt

GPA (point): 2.7 out of 5

GPA (point): 2.7 out of 5

Skills

Nursing
Expert
Nursing
Expert
Inform
Expert
Inform
Expert
Science
Expert
Science
Expert
Awareness
Expert
Awareness
Expert
Hospitals
Expert
Hospitals
Expert
Professional experience in selling medical products
Intermediate
Professional experience in selling medical products
Intermediate
• Course in selling skills from LEADACT international
Intermediate
• Course in selling skills from LEADACT international
Intermediate
• Familiar with major computer applications like MS Word, PowerPoint, Excel and the Internet
Expert
• Familiar with major computer applications like MS Word, PowerPoint, Excel and the Internet
Expert
UAE driving licence
Expert
UAE driving licence
Expert
Hospitals
Expert
Hospitals
Expert
Awareness
Expert
Awareness
Expert
Science
Expert
Science
Expert
Inform
Expert
Inform
Expert
Nursing
Expert
Nursing
Expert

Languages

English
Expert
English
Expert

Training and Certifications

Certifications
LEAPS "1" -Basic
Lead Act international
May 2011 - May 2011