Michaela Cooper

Medical Insurance Specialized

كفاءة

Ar Rassعضو منذ ٢٢ أبريل ٢٠٢٦

Management SkillsInsurance Claim ProcessingMedical Insurance ApprovalsCodingNegotiationCritical ThinkingLeadershipDHMSData OceanDantech

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أرسل عرض عمل مباشرة لهذا المرشح

Management SkillsInsurance Claim ProcessingMedical Insurance ApprovalsCodingNegotiation

نبذة

Dynamic administrator with more than 15 years of experience in Specialization in insurance as administrator & team management. Strong business development, negotiation and key account management skills. Proven ability to achieve insurance targets and significantly increase revenue. Results oriented, motivated and focused on customer satisfaction.

الخبرة

Insurance Manager at Qassim Specialized Medical Center Al-Rass (2024-01 – Present)

Manage and coordinate with insurance companies, process claims, and handle invoicing and reconciliation.

Manage and coordinate with Insurance Companies (Bupa- Tawuniya, Medgulf, Saudi Enaya, Total Care, Takaful Rajhi, ETC)
Following Insurance Policy Approval ContractAmount Percentage
Preparing Invoicing and Attach & Merge with Approval, Lab, Reports ETC
Managing Statement for Final Claim And follow insurance policy
Prepare Insurance daily Invoices and Reconciliation and End of Month
Work on Hospital Management System (Dantech, DHMS, Data Ocean)
Document basic insurance information in the patient's file for quick reference
Process and submit insurance claims daily including approval
Monitor and follow-upon outstanding claims
Front Desk Reception Data Entry Controller Incharge

Administrator Assistance at United Madinah Medical Care (2021-01 – 2024-12)

Administrative support including patient service, appointment scheduling, office management, and invoicing assistance.

Displayed strong Patient service skills with professional manner to resolve Patient enquiries. Work On (DHMS, Data Ocean)
Scheduled and confirmed appointments for entire management team
Managed office inventories, restocking supplies and placing purchase orders to maintain adequate stock levels
Maintained office files in both electronic and hard copies
Assembled and mailed informational packets, reports and publications
Standardized department filing system to increase efficiency
Verified documents and associated records to catch and
Assisted with invoicing and payroll to help facilitate efficiency
Trained junior team members on administrative processes, company requirements and performance strategies
Increased customer satisfaction by greeting visitors promptly and professionally
Scheduled and confirmed appointments for entire management

Medical Insurance Receivable Account at Al Dar Hospital Quba'a (2012-01 – 2021-12)

Managed insurance claims, receivables, patient financial concerns, and business development.

Manage and coordinate with Insurance Companies (Bupa- Tawuniya, Medgulf, Saudi Enaya, Total Care, Takaful Rajhi, ETC)
Following Insurance Policy Approval ContractAmount Percentage
Preparing Invoicing and Merge with Approval, Lab, Reports ETC
Managing Statement for Final Claim And follow insurance policy
Prepare Insurance daily Invoices and Reconciliation and End of Month
Work on Hospital Management System (DHMS, Data Ocean)
Document basic insurance information in the patient's file for quick reference
Process and submit insurance claims daily including approval
Monitor and follow-upon outstanding claims
Provide the appointment coordinator with patient names and amounts due, so effective collection over the counter can take place during the day
Identify patients in the daily schedule who are financial concerns, note payment problems on the patient's chart, and arrange a conference with them either before or at the time of the appointment
Manage a portfolio of clients and develop new business relationships
Present products and services to potential customers
Negotiate terms of sale and conclude contracts successfully
Collaborate with internal teams to ensure customer satisfaction and resolve any issues
Achieve and exceed assigned sales targets

Supervisor of Front Desk Service / Fixed Assets Accounting at Wahat Al Shifa Poly Clinic (2009-01 – 2012-12)

Front desk supervision, patient service, appointment scheduling, and office inventory management.

Manage office Inventories, restocking supplies and placing purchase orders to maintain adequate stock levels
Displayed strong patient service skills with professional attitude
Scheduled and confirmed appointments for entire management team
Supervisor of Front Desk Service