Ahmad F.
Senior Medical Insurance and Policy Validation Specialist
Open to offersNew to PlatformAbout
Ahmad F., based in Cairo, Egypt, is an accomplished Medical Insurance and Policy Validation Specialist with over a decade of experience in the healthcare and insurance sectors, focusing on claims processing, policy validation, and medical documentation review. Currently serving as a Senior Policy Validation Specialist at Nextcare Egypt since 2017, Ahmad excels in validating medical insurance policies, applying ICD-10 coding, and managing high-volume insurance operations. His role involves meticulous attention to interpreting physicians' diagnoses and maintaining confidential records. Previously, he managed healthcare pricing lists as a Price List Administrator at Life Healthcare and processed claims at Globmed Egypt and Al Shrouk Hospital. Ahmad's extensive expertise also includes transforming scanned documents into editable formats and advanced document formatting, drawing on his proficiency in Microsoft Office Suite and PDF Editing Tools. Ahmad holds a Bachelor of Commerce in Foreign Trade Economics from Helwan University, enhancing his analytical skills in document management and administrative support.
Experience
Price List Administrator
Life Healthcare · 2017 — 2019Managed updates to healthcare pricing lists and tariffs, ensuring accuracy and validation of healthcare services. Coordinated pricing data alongside administrative documentation.Senior Policy Validation Specialist
Nextcare Egypt · 2017 — PresentValidated medical insurance policies and member eligibility while processing and reviewing insurance claims. Interpreted physicians' handwriting and medical reports, applied ICD-10 coding, and coordinated activities with insurance companies and healthcare providers. Maintained confidentiality of sensitive data and handled high-volume operations with a focus on accuracy.Claims Processor
Globmed Egypt · 2015 — 2017Reviewed and processed medical insurance claims, verifying documentation and eligibility for healthcare services, while maintaining accurate claim records and administrative reports.Sales Representative
Nestlé Ice Cream · 2013 — 2015Managed customer relationships and sales activities, achieving sales targets and ensuring product visibility.Claims Processor
Al Shrouk Hospital · 2010 — 2013Processed insurance claims, verified medical documentation, and assisted with patient insurance validation and claims coordination.
Skills & Expertise
Education
- Bachelor of Commerce – Foreign Trade Economics DivisionHelwan University · — — 2010
Interested in this professional?
Sign in as an employer to save this profile or invite Ahmad F. to a job.
Sign in as an employer