MOHAMED AJHOUM

• Managed medical billing and revenue cycle operations for consistent claim handling.
• Managed end-to-end insurance operations from eligibility checks through reimbursements.
• Implemented process improvements that enhanced productivity in patient access tasks.
• Oversaw daily patient access admissions while managing health information intake for accuracy.
• Supervised and coached 10 patient access professionals on standard workflows.
• Supported 500+ outpatient registrations and about 10 inpatient admissions daily.
• Led dedicated operations team for superior daily workflow performance and quality control.
• Led cross-functional collaboration across patient access, medical records, and billing teams.
• Facilitated interdepartmental communication to ensure seamless operations.
• Monitored departmental KPIs, supported quality audits, and implemented workflow improvements.
• Supported financial forecast development to inform budgeting decisions each cycle.

• Oversaw operational management of patient access, admissions, insurance coordination, and documentation services, ensuring regulatory compliance and enhancing patient service delivery.
• Managed insurance operations, including Guarantees of Payment (GOP), pre-authorizations, claims coordination, and patient financial counselling, supporting effective revenue cycle management.
• Coordinated with physicians, nursing teams, finance, insurance providers, and third-party administrators to streamline patient admissions and treatment approvals, ensuring accurate operational documentation.
• Evaluated operational processes and departmental KPIs, implementing workflow improvements that enhanced productivity, service quality, and overall operational performance.
• Led onboarding and development of healthcare staff through structured training programmes and operational guidance, fostering team competency and service excellence.

• Facilitated implementation of new EMR/HIS system across multiple branches, coordinating transition of patient registration, documentation, and operational workflows to enhance service delivery.
• Guided and trained approximately 50 staff across different branches, ensuring accurate patient registration, standardized documentation, and effective adoption of the new system.
• Collaborated with IT, Patient Access, Medical Records, Billing, Clinical Services, and Administration to address workflow issues, ensuring operational continuity during implementation.
• Developed user guidance, SOPs, training materials, and standardized procedures to support consistent system usage, knowledge transfer, and long-term adoption.
• Monitored registration accuracy and documentation quality, identifying recurring issues and advising operational teams on corrective actions to improve compliance.

• Managed Medical Billing, Insurance Operations, Revenue Cycle, and Documentation Management for inpatient and outpatient services, ensuring accurate claims processing, reimbursement support, and compliance with payer requirements.
• Directed insurance verification, pre-authorisations, Guarantees of Payment (GOP), claims submission, denial follow-up, and financial coordination to optimise revenue cycle performance.
• Collaborated with Physicians, Coding, Medical Records, Finance, Patient Access, and Insurance providers to ensure accurate documentation, charge capture, and timely claims resolution.
• Produced operational reports and monitored revenue cycle KPIs to enable management performance analysis, ensure documentation quality, achieve audit readiness, and drive process improvement initiatives.
• Served as departmental staff trainer, developing and delivering training on billing procedures, insurance workflows, healthcare systems, and quality standards to enhance team capability and ensure operational consistency.

Coordinated daily Patient Access, Front Office, Appointment Scheduling, and Medical Records operations, ensuring efficient patient registration, seamless appointment management, and high-quality administrative support.

• Managed the complete medical record lifecycle, including documentation, indexing, scanning, retrieval, archiving, and record retention while maintaining compliance with healthcare documentation standards.
• Verified patient demographics, insurance eligibility, and healthcare information to support accurate admissions, billing processes, and effective patient care delivery.
• Collaborated with physicians, nursing teams, and administrative departments to facilitate patient flow, strengthen communication, and ensure timely access to accurate clinical documentation.
• Ensured compliance with JCI standards, UAE healthcare regulations, and patient confidentiality requirements, supporting quality improvement, documentation accuracy, and operational excellence.

• Managed patient registration, medical records, and document control processes, ensuring accurate documentation, timely record retrieval, and compliance with healthcare documentation standards.
• Verified patient demographics, medical information, and insurance details in Electronic Medical Records (EMR) while ensuring data integrity, confidentiality, and accurate record management.
• Coordinated with physicians, nursing, and administrative teams to facilitate efficient patient documentation workflows, medical record availability, and continuity of patient care.
• Coordinated appointments, responded to inquiries, and assisted healthcare professionals, ensuring timely access to clinical documentation and patient records for improved patient support.
• Tracked, archived, and retained documents, conducting quality control activities to support audit readiness and compliance with healthcare policies and data protection requirements.

• Collaborated with healthcare professionals, program teams, and external stakeholders to facilitate efficient service delivery and operational coordination.
• Coordinated registration, document control, and database management to enhance support for community health programmes and awareness initiatives.
• Managed confidential health programme documentation and participant records, ensuring regulatory compliance and data accuracy to protect information confidentiality.
• Prepared management reports and statistical data to improve documentation quality and support internal reviews and record management processes.
• Provided administrative and operational support for health campaigns, workshops, and community outreach activities, contributing to effective programme delivery and public health education.