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Rami Karam Zahyan

MEDICAL Data Reviewer Supervisor at MEDGULF (ONLINE)

Helwan, Cairo, Egypt

Work Experience

  • MEDICAL Data Reviewer SupervisorPart Time

    MEDGULF (ONLINE)

    May 2023 - Present -2 yrs, 2 months

    Egypt , Cairo

    • Job Details:Oversee and manage all clinical data review activities to ensure accuracy and completenessof data Review and interpret complex medical data to identify trends and potential issues Provide guidance and support to staff, manage teams, and ensure compliance withregulatory requirements and company policies Implement best practices and drive process improvements for the organization Utilize technology and data analytics to optimize clinical data review processes andimprove efficiency Collaborate effectively with cross-functional teams, stakeholders, and vendors to achieveproject goals Possess expertise in clinical data management processes and tools, staying up to date withindustry trends and advancements Prepare and present clinical data review reports and metrics to senior management Participate in special projects and initiatives related to clinical data review Demonstrate strong analytical and problem-solving skills, with the ability to identify andresolve issues in a timely manner Communicate effectively with team members and stakeholders, ensuring clear and concisecommunication at all times Exhibit a commitment to excellence and a track record of success in medical data reviewsupervision, making valuable contributions to the organization's success.
  • Supervisor of CloserFull Time

    Maadi Consultancy services & Projects Development (Medgulf Operation)

    Mar 2020 - Dec 2022 -2 yrs, 9 months

    • Job Details:Supervised and managed a team responsible for closing batches. Reviewed claims and VAT to ensure accuracy and compliance with procedures. Provided training and coaching to staff to develop their skills. Sent emails and followed up on them, responding to inquiries in a timely manner. Provided support for data entry and closing tasks to ensure accuracy and completeness. Closed claims of the Ministry of Health in accordance with established procedures andguidelines. Maintained accurate records of all closing activities and ensured compliance withregulatory requirements. Identified areas for process improvement and implemented changes to improve efficiencyand accuracy. Demonstrated strong leadership skills, including the ability to manage teams and provideguidance and support to staff. Exhibited excellent communication and interpersonal skills to ensure clear and concisecommunication with team members and stakeholders.
  • Supervisor of CloserFull Time

    Medgulf Group (Medivisa Operation)

    Apr 2018 - Jan 2020 -1 yr, 9 months

    • Job Details:Supervised and managed a team responsible for closing batches. Reviewed claims and VAT to ensure accuracy and compliance with procedures. Provided training and coaching to staff to develop their skills. Sent emails and followed up on them, responding to inquiries in a timely manner. Demonstrated strong leadership skills, including the ability to manage teams and provideguidance and support to staff.
  • Medical Claims ProcessingFull Time

    Medgulf Group (Medivisa Operation)

    Mar 2010 - Mar 2018 -8 yrs

    • Job Details:Processed medical claims in accordance with established procedures and guidelines. Reviewed claims for accuracy and completeness, ensuring compliance with regulatoryrequirements. Conducted research and investigation to resolve issues related to claims processing. Communicated with healthcare providers and insurance carriers to obtain necessaryinformation and documentation. Maintained accurate records of claims processing activities and ensured timely payment ofclaims. Utilized technology and software to manage claims processing tasks and maintaindatabases. Collaborated effectively with cross-functional teams and stakeholders to achieve projectgoals. Demonstrated strong attention to detail and accuracy in claims processing to minimizeerrors and ensure compliance. Possessed excellent communication and interpersonal skills to interact with teammembers, providers, and carriers. Participated in training and professional development programs to expand knowledge andskills.
  • Education

    • Bachelor's Degree in Account

      Cairo University (CU)

      Jan 2014 

    Skills

    • Microsoft Excel
    • Microsoft Word
    • Training

    Languages

    • Arabic

      Fluent
    • English

      Beginner
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