Anas Bohassan

Pre-Authorization Officer with hands-on experience in medical insurance and Revenue Cycle Management (RCM), specializing in handling approvals, coordinating with insurance companies, and ensuring accurate and timely processing of medical requests. Experienced in working with Naphies, Bupa, and Waseel systems, with strong knowledge of insurance policies, claim requirements, and basic ICD-10 coding. Focused on reducing delays, improving approval rates, and supporting efficient healthcare operations.

Pre-Authorization Officer (Medical Insurance) at Hospital Dr. Suliman Alhabib (2025-07 – Present)

• Process high volumes of pre-authorization requests efficiently through Naphies and insurance portals
• Coordinate with insurance companies (Bupa, Waseel) to secure timely approvals and minimize delays
• Review medical reports, x-rays, and required documents to ensure completeness before submission
• Ensure accurate mapping between procedures and diagnoses using ICD-10 basics
• Follow up on pending approvals and escalate urgent cases to meet service timelines
• Handle rejected or delayed approvals by identifying root causes and resolving issues
• Communicate with healthcare providers to obtain missing clinical information
• Ensure compliance with insurance policies and regulatory requirements
• Maintain accurate records of approvals and track status updates in the system
• Contribute to improving approval turnaround time and reducing rejection rates

Patient service office at Hospital Dr. Suliman Alhabib (2021-03 – 2025-06)

• Preparing patients for their appointments.
• Booking appointments for patients at the appropriate time for them.
• Receiving emergency cases and admitting them to the doctor.
• Solving problems.
• Sending the daily income report to the management.
• Opening a file for the patient and entering their data into the system and entering insurance if any.

Supervisor at Fit factory restaurant (2020-08 – 2021-04)

• Supervising customers service representatives and reviewing conversations between them and the costumer in case of misunderstanding and addressing the proplem
• Supervising food provided providers and workers
• Entering subscribers into the schedules and changing the costumers meals week in Excel.
• Submitting a daily income reports to management and communicating with them in case of food shortages
• Supervising meals delivery service representatives to the customer and taking care of the meals so that they do not spoil.
• Supervising the quality of cooking and taste.

– College of Excellence for Hotels and Tourism