Tamer Mousa
Physician, Healthcare Insurance & operations’ Consultant
Mokattam, Cairo, EgyptWork Experience
Claims SupervisorFull Time
Andalusia Group for medical services
Feb 2017 - Feb 2019 -2 yrs
Egypt , Cairo
Head of Medical Audit & Claims DepartmentFull Time
Arab Contractors Medical Center
Mar 2016 - Feb 2018 -1 yr, 11 months
Egypt , Cairo
medical insurance & claims headFull Time
Al Ansar hospital
Jan 2014 - Nov 2014 -10 months
Saudi Arabia , Jeddah
- Job Details:in charge of medical claims,clinical guidelines implementation & dealing with ongoing correspondance of various hospitals & insurance companies.
Senior Medical OfficerFull Time
- Job Details:Adjudicating medical requests from hospitals & reviewing surgical procedures regarding cost management,medical necessity & in accordance to general clinical guidelines. Antiselection & fraud investigation detection unit. Medical presentations. Onsite hospitals quality assurance.
Education
MBBCH in Medicine
Ain Shams University (ASU)Jan 1996 - Jan 2003 - 7 yr
MBBCH in Medicine & General Surgery
Ain Shams University (ASU)Jan 1996 - Jan 2003 - 7 yr
High School - Thanaweya Amma
as salam collegeJan 1994
Achievements
More than 10 years' diverse experience as a physician with significant accomplishments in healthcare delivery, strategic analysis and management. A medical professional with excellent communication, interpersonal and problem solving skills, building consensus and promoting teamwork.
Languages
Arabic
FluentEnglish
Fluent
Training & Certifications
BLS/ACLS
american heart association·2013IFCE
CCHI saudia arabia·2013