Contract Compliance Medical Assistant

CV Rim MAALAOUI

Contact: +216-**-***-***

E-Mail address: ***********@*****.**

Address: Bardo /Tunis, Tunisia

SKILLS:

• Language: French and English;

• Good knowledge of Word, Excel, PowerPoint and Access;

• Strong ability to manage emergencies and follow procedures;

• Conflict management, adaptability and hospitality;

• High autonomy and excellent concentration;

• Negotiation skills and listening skills;

• Effective oral and written communication;

• Strong persuasion and evaluation skills;

• Strong writing skills (minutes, letters, reports, emails, etc.)

WORK EXPERIENCE:

AMEN SANTE: Tunis /Tunisia

Commercial agent-Development and Communication Department: 2020-2025

Prospecting and Partner Acquisition:

Identify new partnership opportunities with insurance or health repatriation companies.

Assess the relevance and feasibility of potential partnerships.

Build strong relationships with key stakeholders within target companies.

Negotiation and Drafting of Contracts:

Conduct negotiations to define the terms and conditions of partnership contracts.

Work with legal teams to ensure contract compliance and clarity.

Develop agreements that benefit all parties involved.

Communication and Presentation:

Design impactful presentations to highlight the benefits of the partnership.

Effectively communicate value propositions to potential partners.

Participate in industry events to enhance the company’s visibility.

Performance Monitoring:

Establish mechanisms to monitor the performance of partnerships.

Analyze results and propose strategic adjustments if necessary.

Ensure continuous communication with partners to ensure satisfaction and loyalty.

Competitive and Strategic Intelligence:

Monitor competitor activities and market trends.

Adapt the partnership strategy according to changes in the sector.

Internal Collaboration:

Coordinate with other departments, such as operational, legal and financial teams.

Ensure smooth communication to ensure consistency of initiatives.

Reports and Documentation:

Prepare periodic reports on partnership performance.

Maintain complete documentation of agreements and exchanges with partners.

AMEN Clinic: Tunis /Tunisia

Patient Coordinator - Operations, Admissions, Billing and Collections Department: 2018 - 2020

• Periodically assess professional and operational risks;

• Ensure the implementation and evaluation of the effectiveness of the actions decided during management reviews;

• Monitor the allocation of payments received from insurance organizations;

• Commit to studying the adjustments applied in relation to base rates;

• Contribute to the institution’s accreditation and certification process;

• Develop and monitor management procedures;

• Coordinate the receipt, billing and collection of invoices to insurance organizations on time;

• Ensure the collection of supported invoices within the time frame provided by the insurance agreements;

AMEN Clinic: Tunis /Tunisia

Administrative medical assistant 2007/2018

Answer patient calls, emails and questions, including finding insurance estimates

Confidentially manage patient accounts

Schedule patient visits and answer pre-visit questions, including about billing

Ensure compliance with professional standards & regulatory requirements

Provide patient consultations and recommended treatments

Discuss cost of service, insurance coverage, and payment options with the patient

Work as a team player to ensure each patient receives the best service possible

Schedule any necessary outpatient appointments

Get prior authorizations for procedures

Scan documents into patient charts

Meet with patients and families regarding treatments, procedures, medications, and continuing care.

Assist care team with setting goals for quality assurance and best practices

Provide community resources and referrals for continuing care

Assist in locating funding for special procedures or other patient needs

TRAINING & CERTIFICATION:

Training Certificate "Interpersonal Communication and Teamwork" June 2013

Training Certificate "Enabling Effectiveness of Executive Assistants" October 2010

Master’s Degree in English Language 2001/2006

University of Arts and Humanities Manouba, Tunisia

Baccalaureate in Economics and Management 2001

Bardo 2 High School Tunis, Tunisia

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