محمد لبابيدي

Responsible for maintaining the provider network, provider files, enrollment policies, procedures & obligations,
and reimbursement methodologies
Developing the relationship and maintain the liaison with providers
Reconcile, negotiate with providers to settle dues and accounts payable
Assist in negotiating, reviewing, and preparing enrollment agreements with facilities, laboratories, and group
physician practices
Assist with the development and monitoring provider's contracts
Solve administrative problems affecting network providers, patients and plans within contracted guidelines for
which the network is responsible
Ensure the compatibility of provider data entered into the provider database
Identified and collected evidence and determined its value to a specific claim
Assist in the recruitment and assessment of new provider, interpretation of contracts, policy and procedures
Reviewed data to verify the validity of claims

Special task was conducted in Globemed Gulf
Offered specific training programs to help employees maintain and improve job skills
Developed training program for specific, assigned job tasks, including approval system, claims processing and
Customer service
Instructed through lectures, discussions and demonstrations in billing system, claims submission, Health
Authority Abu Dhabi & Dubai Health Authority rules and regulations
Designed and created daily lesson plans for activities

Responsible for providing efficient and smooth processing of customer policies, endorsements, and status &
coverage changes
Interviewed claimants, medical specialists and employers to determine pertinent claim information
Provide pre-authorization for hospitalization and outpatient procedures
Follow up on prior approval request
Initiate the creation of the table of benefits
Responsible for data entry of claims presented by the providers and checking their accuracy
Provide both electronic and phone assistance to emerged clients' issues in accordance with the financial
requirements and standards of patient care
Coordinate with other departments to assist in providing the clients' needs
Resolve complex problems such as communication with uncooperative clients/providers
Anticipate problematic cases and provide alternative solutions to avoid/minimize conflict
Conduct new staff orientation, training and supervision

Delivered high quality and compassionate treatment to indigent and low-income patients
Provided palliative care ranging from assessment to development and implementation of care plan
Provided behavioral/emotional support and supervision for those with Alzheimer's
Assisted patients with multiple chronic diagnoses including COPD and asthma
Administer medications according to Dr's prescription
Evaluated patient care needs, prioritized treatment and maintained patient flow
Took and recorded patients temperature, pulse and blood pressure