Ibrahim Mokhtar Soliman

Vezeeta.com

• Billing & Collection managerFull Time

  Dec 2016 - May 2018 -1 yr, 5 months

  Egypt , Cairo

  • Job Details:1. Oversees the operations of the billing department, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management. 2. Serves as the practice expert and go to person for all coding and billing processes. 3. Plans and directs doctor’s documentation, workload coding, billing and collections, and data processing to ensure accurate billing and efficient account collection. 4. Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues. 5. Follow up on claims using various systems. 6. Maintains contacts with other departments to obtain and analyze additional doctors information to document and process billings. 7. Prepares and analyzes accounts receivable reports, weekly and monthly financial reports, and insurance contracts in concert with the Practice Administrator. Collects and compiles accurate statistical reports. 8. Audits current procedures to monitor and improve efficiency of billing and collections operations. 9. Ensures that the activities of the billing operations are conducted in a manner that is consistent with overall department protocol, and are in compliance with Federal, State, and payer regulations, guidelines, and requirements. 10. Participates in the development and implementation of operating policies and procedures. 11. Reviews and interprets operational data to assess need for procedural revisions and enhancements; participates in the design and implementation of specific systems to enhance revenue and operating efficiency. 12. Analyzes trends impacting charges, coding, collection, and accounts receivable and take appropriate action to realign staff and revise policies and procedures. 13. Keep up to date with carrier rule changes and distribute the information within the practice. 14. Performs physician credentialing actions. 15. Understands and remains updated with current coding and billing regulations and compliance requirements. 16. Maintains a working knowledge of all health information management issues. 17. Maintains library of information/tools related to documentation guidelines and coding. 18. Supervises billing office personnel, which includes work allocation, training, and problem resolution; evaluates performance and makes recommendations for personnel actions; motivates employees to achieve peak productivity and performance. 19. Provides, oversees, and/or coordinates the provision of training for new and existing billing staff on applicable operating policies, protocols, systems and procedures, standards, and techniques. 20. Coordinates team member time off in a manner that does not negatively impact necessary daily functions. 21. Performs other miscellaneous job-related duties as assigned.
• Call center managerFull Time

  Apr 2014 - Dec 2016 -2 yrs, 8 months

  Egypt , Cairo

  • Job Details:Evaluate and manage teams' development and improvements and that according to the stand of the teams to KPIs. Ensure commitment to FCR for all customer facing personnel by developing consistent feedback and follow up procedures Ensure all personnel are assessed on a quarterly basis along with the annual appraisal. Manage with Hr. department any ramping up campaigns to manage properly the agreed head count. Manage the Call Center Team on all functions (Quality insurance, Work Force and operation management). Establishment of business processes, procedures and policies Maintain the performance of the department with respect to the agreed SLAs and KPIs Manage the staffing needs through recruitment activities with HR Dep. Ensure consistency within the team through coaching and mentoring, one-on-ones, and performance reviews. Implement and follow through with necessary disciplinary actions. Act as an escalation point for employee relations, and customer issues, where the Team Manager assesses the need for additional support. Manage conflict and problem resolution for both types of situations. Holding weekly and Monthly meeting to measure the progress against the set metrics with the Team Managers to decide any supportive or corrective action