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Rana Ghulam Mustafa, Manager, Revenue Cycle Management

Rana Ghulam Mustafa

Manager, Revenue Cycle Management·Dr. Noor Mohammed Khan General Hospital

Saudi Arabia

Diploma, ORACLE Database Administration

Work experience

Total years of experience: 13 years, 8 months

Manager, Revenue Cycle Management

December 2022 - Present

Dr. Noor Mohammed Khan General Hospital

Hafr Albaten, Saudi Arabia

December 2022 - Present

Company industry:
Medical Hospital
Job role:
Administration

Medical Insurance Processor

November 2020 - November 2022

Aldara Hospital and Medical Center

Riyadh, Saudi Arabia

November 2020 - November 2022

Company industry:
Medical Hospital
Job role:
Accounting and Auditing

Insurance and Cashier Supervisor

September 2012 - September 2020

The Clinics

Riyadh, Saudi Arabia

September 2012 - September 2020

Proudly won the startup of the Insurance department and earned the insurance contracts with the major insurance companies.
Succeeded in the implementation of the new MDS templates in the system which is mandatory for the claim submission.
Oversaw the integration of Waseel, DHS systems with current Internal system.
Guided the IT team on the implementation of the Insurance Contracts in the system while keeping in view the latest CCHI regulations.
Oversaw the VAT implementation for Non-National patients and exclusions on the pharamcy items.
Organized the Insurance department to efficiently work on the insurance process within the regulatory specified time lines.
Minimised the claims rejection and maximised the approvals.
Boosted the revenue cycle team in term of their day to day tasks and commitments.
Transformed the daily revenue collection process from the front desk staff.
Upgraded the current system to a fully automated system to meet the clinical, Insurance and revenue cycle requirements.
Introduced the reward program in RCM department to boost the insurance staff.
Trained the front desk staff to send pre authorisation request to the insurance companies through Waseel and DHS system.
Started the monthly claim submission and prepared the summary and statement.
Daily reconciliation with banks for the day to day transactions through POS Machines against CASH Revenue.
Monthly reconciliation with Insurance companies and final settlement.

Company industry:
Medical Hospital
Job role:
Management

Education

University of the Punjab

August 2010

August 2010

Diploma, ORACLE Database Administration

Pakistan

GPA (percentage): 85%

GPA (percentage): 85%

University Of The Punjab

February 2009

February 2009

Bachelor's degree, General Science

Pakistan

GPA (rating): Good

GPA (rating): Good

A Bachelor Degree in general science, an Oracle Database Administration Certificate and a Diploma of English Language.

Easy English Academy

August 2008

August 2008

Diploma, English Spoken

Pakistan

GPA (percentage): 90%

GPA (percentage): 90%

Govt Degree College, Samundri

January 2006

January 2006

High school or equivalent, Computer Science, English Language, General Sciences

Pakistan

GPA (percentage): 60%

GPA (percentage): 60%

Govt college Samundri

January 2006

January 2006

Diploma, Computer Science

Pakistan

GPA (point): 3 out of 4

GPA (point): 3 out of 4

Skills

Insurance
Expert
Insurance
Expert
Bank Reconciliation
Expert
Bank Reconciliation
Expert
Insurance Claims
Expert
Insurance Claims
Expert
Medical Insurance
Expert
Medical Insurance
Expert
Microsoft Office
Expert
Microsoft Office
Expert
MS Office
Expert
MS Office
Expert
Insurance Claim Processing
Expert
Insurance Claim Processing
Expert
Accounting
Expert
Accounting
Expert
Cashier
Expert
Cashier
Expert
Dealing with Major Medical Insurance Companies like: Bupa, Tawuniya, MedGulf & GlobeMed
Expert
Dealing with Major Medical Insurance Companies like: Bupa, Tawuniya, MedGulf & GlobeMed
Expert
Insurance Summary & Statements
Expert
Insurance Summary & Statements
Expert
Insurance Reconciliation and settlement
Expert
Insurance Reconciliation and settlement
Expert
Multi-Tasking
Expert
Multi-Tasking
Expert
Problem Solving
Expert
Problem Solving
Expert
Team Building
Expert
Team Building
Expert
Reliability
Expert
Reliability
Expert
Communication skills English
Expert
Communication skills English
Expert
Decision Making Skills
Expert
Decision Making Skills
Expert

Languages

English
Expert
Arabic
Intermediate
Urdu
Expert

Training and Certifications

Certifications
Database Administration Certification
Apr 2010 - Aug 2020

Hobbies

  • Reading, Research, Camping, Internet Surfing
    Whatever interesting comes in my mind i want to know more about it.