Zeinab Mostafa

Andalusia Group

• Pricing and medical coding supervisorFull Time

  Apr 2022 - Present -3 yrs, 2 months
• Medical audit doctorFull Time

  Dec 2021 - Present -3 yrs, 6 months

  Saudi Arabia

  • Job Details:1-performing technical audit on e-claims both inpatient and outpatient as closed statements in order to manifest and form a trend of rejection from insurance companies. 2-review medical records for services billed and validate required documents and and information are contained within the record submitted for various service types. 3-justify the rejection reasons on system in rejection cases, validating resubmission reports before sending back to insurance companies in order to reconcile. 4-perfom both technical and medical audit on e-claims. 5-Perfom audit on the output of various department in the insurance department including approvals, claims, medical coding and resubmission. 6-Creating a trend of rejection put into both amount and also reasons of rejection. 7-suggest ideas that may improve audit work flow.