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Mahmoud Abdeltawab

Mahmoud Abdeltawab

Financial Accountant and Medical Insurance Claims Officer

كفاءة
Riyadhعضو منذ ٢١ سبتمبر ٢٠٢٦
Accounts Receivable (AR)Accounts Payable (AP)General LedgerAccount ReconciliationEligibility VerificationOracle ERPMicrosoft ExcelRevenue Cycle Management (RCM)ZATCA VAT Requirements
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Accounts Receivable (AR)Accounts Payable (AP)General LedgerAccount ReconciliationEligibility Verification

نبذة

Results-driven Financial Accountant and Medical Insurance Claims Officer with over 5 years of experience optimizing financial operations, Revenue Cycle Management (RCM), and insurance claim workflows within healthcare environments. Expert in Oracle ERP, advanced Microsoft Excel, NPHIES portal integration, Accounts Receivable (AR), Accounts Payable (AP), and VAT compliance. Proven track record in streamlining claim submissions, accelerating account reconciliations, and driving compliance with Saudi Arabian healthcare and tax regulations.

الخبرة

Accountant & Insurance Claims Officer - Al Falah International Hospital - Riyadh, Saudi Arabia

(2021-10)

  • Managed end-to-end Revenue Cycle Management (RCM), processing and submitting high volumes of medical insurance claims with high accuracy while utilizing the NPHIES platform.
  • Managing work-related injury cases, including obtaining the necessary approvals, processing claims, and coordinating all related procedures and documentation.
  • Managing Ministry of Health patient cases, including obtaining the necessary approvals, processing claims, and coordinating all related procedures and documentation.
  • Conducted eligibility verifications and pre-authorizations to reduce upfront claim rejections.
  • Oversaw Accounts Receivable (AR) and Accounts Payable (AP) workflows, performing routine account reconciliations to maintain balance sheet integrity.
  • Spearheaded denial management initiatives, investigating rejected claims and executing successful resubmissions to recover previously denied revenue.
  • Prepared accurate monthly financial reports, variance analyses, and cash flow updates for executive management leveraging Oracle ERP and Microsoft Excel.
  • Enforced strict compliance with Saudi tax regulations (ZATCA VAT requirements) and healthcare insurance standards across all financial documentation.

Trainee Accountant - Tarek Mohammed Bakheet Mohammed Office - Asyut, Egypt

(2018-11 - 2019-03)

  • Processed raw financial data, journal entries, and invoice postings into specialized accounting software to ensure clean general ledger records.
  • Supported month-end closing procedures by assisting with bank reconciliations, vendor invoice reviews, and inventory count audits.
  • Assisted in preparing initial draft tax statements and legal documentation required for new business incorporations and VAT filings.

التعليم

Bachelor of Commerce - Accounting - Assiut University (2014-09 - 2018-06)

التقييمات