Revenue Caycal Manager
Anova for Health services & Applications
Total years of experience :15 years, 2 Months
Working now in Dr Mohammad Al fageh hospital project, Managing they Claims, Patients access, and Pre-Authoraizatins departments
Supervisor of approval office and dealing with all insurance websites, working on e -claims processing, naphies champions, setup and demonstration of insurance protocols, refarral cases follow ups.
Responsible for:
- Manage insurance contracts.
- Follow up contracts during the contracting year and confirm applying the contractual terms between the two parties.
- Mange the daily operations activities
* Manage claims & medical auditing team
* Manage the approval team
* Manage the Admissions and discharge team
- Monitoring the reconciliations and payments process.
*Negotiations for new services additions and pricing.
*Periodic meetings with the insurance prates to maintain and solve any issue related to contractual trams.
*Working with related departments to prevent any services failures and providing high levels of services.
*Managing the marketing, patient affairs & public relations team.
* process improvement efficiency and lean process
* monitoring staff achievements, perform periodic performance appraisal, and providing guidance or coaching to direct reports
* Managing the daily operations activities for Sabic mega account Team :
- Mange Hospital delegates team inside the providers.
- Mange Key account delegates team inside the mega accounts premises
- Mange Membership maintenance team
- Mange Reimbursement team
* Re- engineering processes
* Customer experience excellence
Doing all the Nursing role and tasks.
Worked in the Emergency unit
Clinical instructor in community health at nursing faculty
Rate :Good