Senior Medical Billing and authorization Specialist - COB Solution - Bensonhurst, New York – Cairo
(2024-11)
- Specializing in Revenue Cycle Management (RCM) for Workers' Compensation and No-Fault insurance, leading and supervising end-to-end claim processing from eligibility verification through final payment and collections.
- Lead and manage a team of 20+ employees, ensuring accuracy, productivity, and compliance with payer requirements and internal workflows.
- Developed and maintained structured workflows and SOPs for Workers' Comp and No-Fault claims, improving claim accuracy, reducing denials, and enhancing operational efficiency across processes.
Medical Billing and authorization Specialist - COB Solution - Bensonhurst, New York – Cairo
(2024-05 - 2024-10)
- Responsible for managing medical billing processes for a variety of insurance claims, including commercial insurance, workers' compensation, and auto accident claims. And also worked with the US department of labor which Federal employees medical claims and longshore and marine workers claims
- Reviewed and processed medical claims, ensuring compliance with insurance requirements and company policies.
- Authorization Officer: Coordinated and managed insurance authorizations for both medical procedures and services. And also coordinate between patient authorizations and medical benefits between other medical providers of the patient
- Conducted medical benefits verification for clinic patients, ensuring eligibility for services and benefits before treatment.
- Successfully managed and resolved denied claims, optimizing payment processes for the clinic and patients.
- Ensured accurate coding and billing practices in alignment with insurance protocols.
Medical Auditor - St. Ann Ortho Fitting - Bayonne, New Jersey – Cairo
(2023-10 - 2024-05)
- Started as a Medical Biller with a focus on billing for patient services, sending authorization requests, and quickly transitioned into a Medical Auditor role due to strong attention to detail and comprehensive understanding of billing processes and also being from a medical background assisted this transition.
- Specializes in reviewing and auditing medical codes for accuracy and compliance.
- 2,000+ patients files have been accurately billed and paid.
- 100+ no fault law patient's files been dead from 2021 has been revived.
- Medical Coder: Focuses primarily on assigning codes to medical procedures and diagnoses.
- Billing specialist: Focuses the financial aspect, managing the billing process.
- Health Information Technician: I hold a broader role, including managing health information databases and ensuring data accuracy.
Dentist - Al-Tamyouz Hospital - Khartoum, Sudan
(2021-07 - 2022-01)
- Emergency Dentist during Covid
- Treated Hundreds of patients during time where is always shortage of supplies.
Salesman - Al-Qoba Al-Zahbia Building Supplies
(2012 - 2022)
- Prior to becoming dentist, I used to sell building materials in my father company.
