Mazin Isam

Healthcare Operation professional with 3+ years of daily insurance claims processing across provincial drug plans, private benefits programs, and government benefit programs. Proven expertise in pre-authorizations, coordination of benefits, appeals, and adjudication using Kroll PMS.

Healthcare

Management diploma and clinical foundation (BDS) supporting compliance-aware, high-accuracy reimbursement operations.

Pharmacy Assistant & Operations Coordinator at Lawtons Drugs (Sobeys) (2023-03 – Present)

• Process insurance claims daily across MSI (Nova Scotia provincial), Blue Cross, Green Shield, Sun Life, Manulife, WCB, and government benefit programs (DSS) — including eligibility verification, pre-authorizations, coordination of benefits, and formal appeals.
• Execute all transactions through Kroll PMS; manage patient account records, dispensing records, and billing histories.
• Resolve billing discrepancies and reconcile patient accounts; handle payer disputes and resubmissions.
• Manage pharmaceutical procurement through McKesson Canada; generate and track purchase orders including DSS submissions.
• Maintain PIPEDA-compliant electronic patient records across all billing and dispensing transactions.
• Train new staff on insurance claim processing workflows, plan identification, and billing resolution protocols.
• Prepare and verify blister packaging for LTC residents; maintain narcotic reconciliation and controlled substance documentation.

General Dentist & Practice Operations Manager at Private Dental Practice (2018-06 – 2022-09)

• Managed all billing, insurance coordination, collections, and procurement for a full-service dental practice.
• Coordinated insurance claims submission and payment reconciliation across multiple payers.

Medical Representative (Part-Time, Concurrent) at Laboratories KIN (2018-02 – 2022-08)

• Built professional relationships with pharmacists, physicians, and clinic managers; educated on pharmaceutical product protocols and clinical indications.

Post-Baccalaureate Diploma in Healthcare Management – Cape Breton University (2024)

Bachelor of Dental Surgery in BDS – Yarmouk University (2017)