Ibrahim Adnan Ibrahim

Results-driven Medical Doctor (MBBS) with 5 Years of Combined Clinical and Medical Operations Experience. Skilled in pre-authorizations, clinical adjudication, and applying medical judgment to manage high-cost, complex cases.

Head of Patient Service & Insurance Department at Andaman Bodrum International clinics (2024-10 – Present)

• Case Management: Evaluate and case-manage complex international patient pathways across 7 distinct clinic branches, utilizing active clinical judgment to review medical necessity and secure cost-effective care.
• Pre-Authorizations: Supervise end-to-end health insurance and Third-Party Administrator (TPA) pre-authorization (GOP) pipelines, successfully eliminating operational bottlenecks to accelerate corporate approval turnaround times.
• Clinical Adjudication: Lead clinical adjudication and strategic internal audits and review claims on high-value Accounts Receivable (AR) aging reports for contested insurance claims outstanding over 90 days, successfully driving revenue resolution and minimizing backlogs.
• Process Improvement: Authored and deployed a comprehensive English-language Standard Operating Procedure (SOP) handbook, standardizing insurance case-opening frameworks and onboarding models for a multi-branch team of 6 administrative and billing personnel.
• Data Governance: Spearhead database governance and rigorous clinical data-cleaning initiatives across custom, multi-site Odoo ERP systems to eliminate entry errors, protect patient record integrity, and maintain data security standards.
• Workflow Innovation: Architected an internal software tracking tool to monitor real-time third-party payer response timelines, streamlining cross-border payment chasing workflows.

Pharmaceutical Operations / Medical Representative at Al-Farhad Pharmaceuticals (2023-10 – 2024-03)

• Managed daily provider operations, fulfillment logistics, and inventory tracking across a network of 15+ regional clinics and healthcare facilities to maintain a 98% on-time medical supply delivery rate.
• Audited cross-functional communication protocols and procurement data to ensure absolute structural alignment with national pharmaceutical distribution frameworks and institutional compliance standards.
• Administered government-sponsored patient support pipelines for complex chronic-disease cases, auditing medical eligibility documentation to successfully secure state funding approvals for over 150+ high-impact files.

Medical Doctor – Clinical Intern (Rotational) at Cairo University Hospitals (2022-01 – 2023-12)

• Acute Care Delivery: Executed full-time clinical duties, emergency calls, and managed care with overnight rotations across high-volume tertiary university hospital departments, specializing in frontline acute triage and emergency medicine pathways.
• Clinical Documentation: Conducted comprehensive clinical assessments, diagnostic evaluations, and precise medical charting for a high-velocity, diverse inpatient and outpatient population under registrar supervision.
• Care Coordination: Managed collaborations with multi-disciplinary medical teams across internal medicine, general surgery, pediatrics, and critical care units to safely coordinate complex admissions, diagnostic investigations, and specialist discharge referrals.
• Utilization Review & Compliance: Monitored compliance with evidence-based protocols for clinical investigations and treatments across rotational tracks, maintaining a 95%+ adherence rate to international healthcare standards and medical regulation.

Bachelor of Medicine, Bachelor of Surgery (MBBS) in Medicine – MAHSA University (2021-12)