Senior Resubmission Officer
Ain Al Khaleej Hospital
مجموع سنوات الخبرة :13 years, 5 أشهر
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 .
Resident doctor in Cardiology department
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
General Practitioner
