Doha, Qatar
Verified patient insurance eligibility, coverage, co-pays, deductibles, and benefit limits prior to service delivery. Managed prior authorization processes, including submission of clinical documentation and follow-up with insurers. Supported medical coding and billing by ensuring accurate use of ICD-10 and CPT codes and reviewing claims for compliance. Submitted and tracked insurance claims, resolving delays and following up on outstanding or underpaid claims. Handled denial management by analyzing rejection reasons, correcting claims, and submitting appeals with proper documentation. Communicated with patients regarding insurance benefits, out-of-pocket costs, billing inquiries, and payment plans. Ensured compliance with healthcare regulations, payer policies, and maintained accurate, confidential patient records.
Process and evaluate local and international medical insurance claims in accordance with company policies and coverage guidelines. Handle pre-authorization requests for medical procedures, treatments, and hospital admissions. Review claim documents including medical reports, invoices, and support documentation to ensure accuracy and compliance. Coordinate with hospitals, clinics, and healthcare providers regarding claim verification and billing clarifications. Respond to member inquiries related to policy benefits, claim status, coverage details, and reimbursement procedures. Investigate and resolve claim discrepancies or disputes in a timely and professional manner. Maintain accurate claim records and documentation in the internal system. Prepare daily and monthly operational reports related to claims processing and approvals. Ensure compliance with company policies, insurance regulations, and service level agreements.
Managed the full inventory lifecycle including purchasing, receiving, storage, issuance, and stock monitoring. Prepared and processed purchase orders in coordination with procurement and project teams. Verified and inspected incoming materials to ensure quality, quantity, and compliance with purchase specifications. Maintained accurate inventory records using SAP, ensuring real-time updates and data accuracy. Conducted periodic stock counts and physical inventory audits to ensure proper reconciliation with system records. Prepared inventory variance, adjustment, and reconciliation reports for management review. Coordinated logistics and delivery of materials to project sites to support construction schedules. Ensured proper storage practices and compliance with safety standards in the warehouse. Collaborated with suppliers and internal departments to resolve material shortages and delivery issues.
Managed overall restaurant operations including staffing, inventory control, food safety, and customer service. Supervised daily store activities to ensure operational efficiency and compliance with company standards. Monitored inventory levels, controlled food costs, and minimized wastage through effective stock management. Prepared sales, inventory, and financial performance reports for management review. Recruited, trained, and supervised staff to improve productivity, service quality, and teamwork. Addressed customer complaints and feedback to maintain high customer satisfaction levels. Managed cash handling, daily sales reconciliation, and store financial records.