Dr. Alaa Matar

Experience

• 

  Ministry of Health Saudi Arabia

  Apr 2018 - Mar 2019

  Internship Program

  - King Abdulaziz Hospital, Al-Mahjar (5 Months)- Al Jedaani Hospital (3 Months)- King Fahad General Hospital (2 Months)- King Abdullah Medical Complex (2 Months)

• 

  Hera General Hospital

  May 2020 - Jul 2020

  General Physician
• 

  Total Care Saudi

  Sept 2022 - now

  Claims Adjudicator

  - Submitting claims’ data into Total Care Saudi TPA Operating system- Processing claims’ forms- Adjudicating for deductibles allocation, co-pays, co- insurance maximums, discounts and provider reimbursements- Adjudicating for medical exaggerated claims, over-billing and clinical indications and contraindications of medical services and pharmaceutical items billed- Following and applying policies and procedures to ensure proper payment of claims- Resolving problems resulting from claim adjudication and customer service phone calls- Pulling specialty claims from the system to either review or process Show less