Summary
Overview
Work history
Education
Skills
References
Timeline
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Hawazen Bakil

Hawazen Bakil

Dubai,United Arab Emirates

Summary

Passionate Customer Service Professional with more than 10 years of experience in Healthcare,Medical Insurance and Reception roles focusing on Patient-Facing roles,Billing Coordination,Patient Services,Insurance Verification and Eligibility,Claims Coordination and Preauthorization.

Skilled in handling Patient Registration,Scheduling, Billing, and Insurance Coordination while delivering excellent Customer Care. Strong communicator with proven ability to manage inquiries, resolve issues, and maintain accuracy in fast-paced environments.

Overview

10
10
years of professional experience
2015
2015
years of post-secondary education

Work history

PBM Preapproval Officer

Metlife
Dubai
12.2017 - 03.2025
  • Evaluates and approve or reject pharmacy claims based on medical necessity, policy coverage, and treatment protocols.
  • Override rejected medications if falls under policy terms and conditions and clinically justified.
  • Update Pharmacy Pre-approval bucket within the turn around time to avoid delay in pre-approvals in the Pharmacy.
  • Coordinate between provider or patient if additional documents is required for approval.
  • Answer phone calls and emails related to Pre-approvals.
  • Coordinated urgent cases with Doctors and Supervisors for rapid resolution.
  • Executed assigned duties responsibly thus meeting departmental expectations consistently.

Receptionist/Billing/Insurance Coordinator

Dr. Sulaiman Al Habib Medical Centre Dubai
Dubai
10.2015 - 10.2017
  • Welcome patients,schedule appointments,answer calls and direct patients courteously.
  • Handle patients registration,verify insurance eligibility,ensuring accurate data entry for future billings.
  • Process invoices and minimized discrepancy by cross-checking medical services rendered against billed amounts.
  • Handle cash and card payments,maintaining customer confidentiality and discretion all throughout.
  • Delivered outstanding customer care with proactive sales and listening skills.
  • Coordinated pre-authorization with multiple insurance providers to secure approvals in timely manner.
  • Maintain clear documentation of request and approvals, including denied or pending claims.
  • Liase with physicians,nurses and insurers to ensure accuracy of submitted information and minimized rejections.
  • Obtained prior authorization for outpatient procedures.
  • Develop good relationship with various insurance companies.
  • Coordinates with Insurance companies for any medical services their members will avail on direct billing at our hospital.
  • Liaise with treating doctors and nurses for justification of rejected claim request.
  • Maintain the highest level of accuracy and patient confidentiality.

Healthcare Assistant

Saudi German Hospital
Dubai
11.2014 - 08.2015
  • Assisted in patient care, improved comfort and well-being.
  • Assist patients with personal care task such as bathing,dressing,feeding and toileting if needed.
  • Respond promptly to patient Call Bells or request ensuring timely assistance and comfort.
  • Support mobility and help patients move safely using appropriate way or equipment.
  • Replenish medical supplies and assist with stock management.
  • Communicate effectively with patients, families, abd the healthcare team.

Education

Bachelor of Science - Nursing

Universidad De Zamboanga

Skills

  • Appointment Scheduling and Patient Registration
  • Insurance verification process and Insurance authorizations & Billing Coordination
  • Excellent Verbal and Written communication skills to interact professionally
  • 10 years of Medical Insurance Knowledge
  • Understand Medical necessity
  • Insurance policy interpretation
  • Seeking a role to leverage my skills and contribute to the success of a reputable organization

References

  • Dr. Shrikant Shrivastava - Metlife Pre Approval Manager
  • Dr. Farooq Qasim - Metlife Case Management Manager
  • Dr. Simi Subire - Metlife Pre Appproval Supervisor

Timeline

PBM Preapproval Officer

Metlife
12.2017 - 03.2025

Receptionist/Billing/Insurance Coordinator

Dr. Sulaiman Al Habib Medical Centre Dubai
10.2015 - 10.2017

Healthcare Assistant

Saudi German Hospital
11.2014 - 08.2015

Bachelor of Science - Nursing

Universidad De Zamboanga

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Hawazen Bakil