SONIA KHEMIRI
MEDICAL INSURANCE COORDINATOR
Sharjah
Summary
Effective Medical Claims Processor with strong background building rapport with providers to discuss claim status or claim denials. Driven performer equipped to handle multiple administrative tasks effectively.
Exemplary worker with highly investigative skills when processing claims. Responsible Medical Claims Processor with strong attention to detail and juggles multiple tasks. Bilingual go-getter committed to handling claims expeditiously.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude.
Willingness to take on added responsibilities to meet team goals. Dedicated professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
5
5
years of professional experience
3
3
years of post-secondary education
5
5
Languages
Work History
Medical Insurance Coordinator
AL KHAJAH GROUP
SHARJAH
05.2017 - Current
- Followed up on potentially fraudulent claims initiated by claims representatives.
- Managed large volume of medical claims on daily basis.
- Responded to correspondence from insurance companies.
- Reported policy changes and company conditions affecting customer satisfaction.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
- Used administrative guidelines as resource or to answer questions when processing medical claims.
- Communicated effectively with staff, patients and insurance companies by email and telephone.
- Used classification manuals to gain additional knowledge of disease and diagnoses processes.
- Created new physical and computer-based files.
- Processed patient admission and discharge documentation.
- Supported smooth admission and discharge processes by handling associated documents.
- Maintained database for storage and retrieval of medical records.
- Used correct diagnosis-related groups based on patient encounter details.
- Utilized RIAYATI MOH SYSTEM AND INSURANCE PORTAL to manage and confirm patient data, such as insurance, demographic and medical history information.
- Reviewed medical records for completeness and filed records in alphabetic and numeric order.
- Input data into computer programs and filing systems.
- Prepared and processed forms for government healthcare programs.
Education
High School Diploma -
SCHOOL oF FASHION DESIGNER MONASTIR
TUNISIA 09.2005 - 07.2008
High School Diploma -
KINDERGARTEN DIRECTOR
TUNISIA 09.2003 - 05.2004
Skills
Data security procedures
Medical terms and procedure knowledge
Telephone etiquette
Knowledgeable in [Software]
Health insurance industry knowledge
Insurance claims processing
Thorough claims reviews
Medical billing code accuracy
Excellent Communication
Problem-Solving
Timeline
Medical Insurance Coordinator
AL KHAJAH GROUP
05.2017 - Current
High School Diploma -
SCHOOL oF FASHION DESIGNER MONASTIR
09.2005 - 07.2008
High School Diploma -
KINDERGARTEN DIRECTOR
09.2003 - 05.2004