Business Development Insurance Claims

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Nehal Ghazala CV new ~- (*

Nehal Ghazala

+965******** *****.*******@*****.***

kw.linkedin.com/in/nehal-ghazala-b945b99 Kuwait-Hawalli.

Summary

Organized, passionate, enthusiastic and results ordinated leader with

more than 15 years’ experience in the medical insurance claims

management, Business development, and Hospital Information

Management, a proven expertise to lead cross-functional team,

committed to the quality level with a relatively fast pace.

Professional Experience

Taiba Hospital - April 2024— Present

Hospital Information Manager

¢ Ensure compliance to Ministry of Health requirements of the

periodic report in timely manner.

¢ Enhance the Electronic Medical Environment by automizing

reports solutions, Co- work effectively with software team to

make use of the available technology.

¢ Analyze the collected medical data, ensuring the authenticity,

integrity and accuracy via auditing the relevant documents as per

updates ICD and CPT protocol.

* Provide the necessary training to caregivers assuring the

compliance with the standards of health care regulations.

* Co-work with Quality Division to review, modify and elevate the

related policies

¢ Ensure full discretion when dealing with patient documentation

for full confidentiality purposes.

* Manage coding team to facilitate accurate documentations

queries.

Taiba Hospital - Jan 2019- April 2024

Billing and Submission Manager

¢ Ensured the correct accurate billing and coding for all services,

assuring the compliance to guidelines, process and procedures,

results in a markable lowering the rejection both technically and

medically.

* Built the core data base to appropriately track and report to

insurance carriers.

¢ Enhanced the procedures and processes to ensure excellent

delivery of all insurance services under the Revenue Cycle

Management.

¢ Enhanced effectively the medical team correspondence and

understanding of insurance requirements and policies resulting

in decrease the medical rejection percentage.

* Managed the credits accounts with all relative correspondence

and payments reconciliation, effective communication with all

insurance p21 CR

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