Mohammad Smeisem

GP Doctor with 10+ years of experience in Health Insurance Medical Approvals, Claims Review & Auditing, Denial Management, and Customer Service; Gaining experience from Insurance Companies, TPA, RCM & Health Care Providers.

Work Experience Claims Auditor & Denial Management Specialist, Waseel for Healthcare Information Technology, Riyadh October 2021 - Present ✔ Daily claims review and audit to ensure the appropriateness of care, ICD 10 coding, and compliance with the payer and regulator's policy. ✔ Justify medical rejections. ✔ Prepare documents for HCP training programs based on pre-submission analytics And rejections. ✔ Perform Health Care Provider training programs. Senior Medical Claims O

Education Bachelor's degree, MBBS Bachelor of Medicine, University of Science and Technology-Yemen September 2001 - September 2009 Medical Internship Training, King Saud Medical City (KSMC) (91.88 %) January 2010 - January 2011