Samer Abd Elaziz

Experience

• 

  Naseem Jeddah Hospital

  Dec 2012 - Oct 2013

  Insurance Manager

  I constructed the insurance system in the hospital, with makingdeals and contracts with all insurance co., and some otherpolyclinics & charities.

• 

  Andalusia Group for Medical Services

  Oct 2013 - Oct 2015

  participating in policyprocedures of insurance process in the hospital , dealing withthe team by obtaining the most output from the minimal inputof the process, good people management with effective teamwork in the department I supervise 14 employees, with all authority on team and agenttasks, involved in editing plans of 2014 & 2015 includes how toorganize the department & how to achieve the goals & targetsof organization, we have to increase the income and thepatients flow according to the plan. I succeeded to deal withmy team (subordinates & managers) with target achievement >100%. I was nominated for medical marketing manager / OPDmanager

  • Marketing Manager

    Jan 2014 - Oct 2015

  • Claims Manager & Insurance Assistant Mgr.

    Oct 2013 - Jan 2014
• 

  SABA Medical - سابا الطبية

  Oct 2015 - May 2017

  My scope is to increase patient flow, net profitability, creatingmarketing dep. & quality standards establishment. I achievedwith the team in SABA 5 to decrease the total cost (direct /indirect costs) to 25% with growth of net profit 15% by usingthe minimal resources. Also the other job is Quality manager inSABA medical group, with target of quality accreditation after 3years, allover SABA group. I achieved with the team to take thelicenses of SABA 1 + SABA 5 + SABA 7. Show less

  • Manager of Operations , medical quality manager

    Aug 2016 - May 2017

  • Medical Director , medical quality manager

    Oct 2015 - Jul 2016
• 

  Aya Hospital

  Aug 2017 - May 2019

  Director Revenue Cycle , OPD Manager

  I took all tasks of insurance growth (dealing withmore insurance companies + direct greatcompanies)All tasks of insurance deal control (decrease allrejections from BUPA from 42% to 8.7% + align allservices in the system to be compatible with theagreements + claim reviews and editing +approval supervision + claim maximal optimalutilization )OPD tasks includes (arrangement of medical staffschedules + patient relations / satisfaction +replying & solving all patient complains + takingrounds in all hospital dep. & solve / reporting allvariances + help in OPD booking for patients +sharing in staff utilization )** Quality management activities : participating inpolicy procedures of insurance process in thehospital , dealing with the team by obtaining themost output from the minimal input of theprocess, good people management with effectiveteam work in the department Show less

• 

  Aghrass Medical Center

  May 2019 - Apr 2023

  Director Revenue Cycle

  * Responsible for business development throughall the processes of RCM (end - to - end)* Main goal to increase opportunities for moreREVENUE , with high quality standards , throughincrease Volume of patients , decrease rejectionrate , high claim consistency , lower days inaccount receivable.* Coding consistency control.* Rejection control.* Good / quick patient cycle , with highersatisfaction.

• 

  Priorities for Medical Care

  May 2023 - now

  * Responsible for business development throughall the processes of RCM (end - to - end)* Managing sales team contacting providers(clients / potential clients)* Managing Coding / Mapping team as per SBS* NPHIES integration through WITHAAQ system* Contracting , Authorization , Claims , Denial &Rejection management.* Main goal to get new clients (medical providers)and increase their opportunities for moreREVENUE , with high quality standards.

  • Director Revenue Cycle

    May 2023 - now

  • Director Revenue Cycle

    May 2023 - now