
Yasmina Moamen Ali
Medical Claims Auditor at Yodawy
Hadayek Alahram, Giza, EgyptWork Experience
Medical Claims AuditorFull Time
Sep 2021 - Present -3 yrs, 11 months
- Job Details:Medical Claims Auditor Yodawy -Performing technical audit on medical claims and evaluating claims with regards to eligibility. -Review claims to ensure that all the information required are included. -Analysis of claim processing cycle and reporting to manager any claims deviation and recommend areas for improvement. -Execute all the activities related to billing, ensure the documentation and system entry of all billing and claim activities to maintain the accuracy and completeness of workflow. -Devise and refine procedures for identifying and resolving billing errors and payer billing practices. -Formulate and handle exceptions of claims with other departments. -Recording and maintaining insurance policy and claims information in a database system. -Monitor all deductions, perform analysis, manage reconciliation process. - Handling all incoming & outgoing Emails Re-confirming & assuring smooth flow of documents for all transactions processed and registered. -Assist manager with training and mentoring of new employees.
Insurance agent traineeFull Time
- Job Details:-Approach prospect costumers, call them to setup meetings. -Present company’s insurance solution to the costumers according their needs. -Generate customer prospect and referrals from every visit. -Track insurance claims to ensure client and company satisfaction. -Respond to clients’ insurance-related questions and issues. -Maintain relationships between company and clients by continually updating them with new products and keeping their insurance plans updated.
Pharmacy branch managerFull Time
- Job Details:-Supervise team of 20 pharmacy staff members. -Supervise entire inventory management related to pharmacy. -Order and purchase pharmaceutical supplies, medical supplies, or drugs, maintaining stock and storing. -Managing store profit and increasing the sale. -Identify opportunities to add value to customers catered by suggesting varied sale items benefiting customer. -Verify record’s accuracy either daily or weekly.
Teaching assistantPart Time
Egyptian Russian University
Mar 2019 - Jul 2019 -4 months
Egypt , Cairo
- Job Details:-Coordinate instructional efforts with lead teacher. - Design and implement lesson plans and curriculum. - Tutor students and assist with assignments and concepts. - Organize and distribute learning resources. - Monitor students during class work and exams. - Provide assistant to teachers in terms of preparing lesson outlines. -Collaborated with a team of faculty at weekly meeting and actively contributed new ideas on teaching.
Education
Bachelor's Degree in pharmacy
Cairo University (CU)Jan 2012 - Jan 2017 - 5 yr
High School - Thanaweya Amma
ibn ataa allahJan 2012