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CURRICULUM VITAE
Ala'a Abdul Malek Akkad
RUWAIS
ABU DHABI
P. O. BOX 11876
0097150 5917663
alaaakkad@yahoo.com
PERSONAL
Date of Birth: 1 April 1977
Nationality: Syrian
Sex: Male
Religion: Muslim
Marital Status: Married with Two Children
LANGUAGES
Arabic Native speaker
English Fluent
French Beginner
EDUCATION
UNIVERSITY OF ALEPPO, FACULTY OF ECONOMICS ALEPPO - SYRIA
BACHELOR IN BUSINESS ADMINISTRATION 1995 -1999
UNIVERSITY OF ALEPPO, FACULTY OF ECONOMICS ALEPPO - SYRIA
DIPLOMA IN MARKETING MANAGEMENT 2000
TRAINING AND COURSES
Computer courses in Excel 2000 - Word 2000 - Aleppo - Syria
Access 2000 - Outlook 2000.
Typing course. Aleppo - Syria
Front Line Services Course. Ruwais - Abu Dhabi
Fire & Safety training course. Ruwais - Abu Dhabi
Holding an appreciation certificate as participant Ruwais - Abu Dhabi
In H.S.E. joint campaign.
Interpersonal communication Skills course. Ruwais - Abu Dhabi
Business Writing Skills course Abu Dhabi
Effective Office Management & Administration Skills course Abu Dhabi
Attended the 1st Health care Insurance Fraud 2013 Abu Dhabi
Attended the 2nd Annual Health Information Management Congress Nov 2012
HAAD – Abu Dhabi
Attended the 4th Annual Health Information Management congress Nov 2014
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HAAD – Abu Dhabi
“Evaluation & Management Coding” Workshop/Nov 2010 HAAD - Abu Dhabi
“Diabetes Management & Coding “ Workshop/June 2010 HAAD - Abu Dhabi
“Dental Diagnoses & Coding” Workshop/Jan 2012 HAAD - Abu Dhabi
“2011 New CPT and ICD9Codes” Workshop/May 2012 HAAD - Abu Dhabi
"Inpatient Evaluation & Management (E&M) Codes" Sep 2015 HAAD - Abu
Dhabi
"ICD-10CM Physician Documentation Introductory Course March 2015
HAAD-Abu Dhabi
EXPERIENCE
ABU DHABI NATIONAL OIL CO. (ADNOC) RUWAIS - ABU DHABI
RUWAIS HOSPITAL
MEDICAL INSURANCE OFFICER June 2010 to Present
Act as a focal point for Insurance Office between the medical record,
accounting section and higher management.
Responsible for resolves technical Medical Insurance Claims by
discussing Medical conditions, making assessments and settling claims
in accordance with company policy by my own without any further
assistance.
Adjudicates medical claims/bills for payment or denial within contract
agreement or guidelines/protocol, using knowledge of medical claims/bill
payment processing and medical regulations.
Verifies and updates relevant data into groups/ computerized systems
and calculates manually any adjustments needed.
Verifies member eligibility.
Receives daily workflow via documents and incoming phone calls and e-
mails.
Interacts with related departments regarding claims/bills and resolves
issues in a courteous and timely manner.
Actively seeks information to understand patient circumstances and
problems with insurance companies.
Responsible for submit all monthly claims – Outpatient and Inpatient –
within the agreed submission time of period using proper tools.
Formulate backup plans in case anything goes wrong.
Responsible for reviewing a medical claim for accuracy and validity. And
compares the billed medical procedures to the insured’s specific plan
benefits.
Decide if the items billed fall within the insurance member’s plan
provisions.
Examines and processes paper claims and/or electronic claims.
Operate and manage e-claim system, generate necessary XML files to
be submitted through HAAD (Health Authority of Abu Dhabi) website to
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the insurance company.
Analyze rejection reports to understand and correct rejection reasons.
Determines whether the return, pending, deny claims are within policies,
and resubmitting corrected claims.
Follows established departmental policies and procedures, operating
memos and corporate policies to resolve claims and claims issues.
Prepare monthly and yearly statistics regarding (number of claims,
submitted claims, rejected claims, submitted amount, rejected amount
and collected amount) location and doctor wise.
Supervise a team of Data Entry Clerks .
ABU DHABI NATIONAL OIL CO. (ADNOC) RUWAIS - ABU DHABI
RUWAIS HOSPITAL
RECORDS CLERK – INSURANCE Nov 2007 to May 2010
In this position I was responsible to complete all insurance claim forms and
prepare it to be claimed from the insurance company, this job required the
following steps:
Collect all claim forms from all departments and give that claims a serial
number, then making copies of that claim to keep it for reference use,
then entering them to the system.
Collect pharmacy prescriptions, lab tests, radiology forms and all other
procedure then attaching them to the proper claim form using the
system.
Printing and checking the invoices and attaching them to their claim
forms.
Printing the final statement and check it against the invoices.
Auditing Daman delegates bills in our hospital, making sure that all
procedures done are claimed.
Administrator on Call responsibilities: holding administrator on call
duties for one week each month to solve any problem might happen in
the hospital after duty hours or during weekends.
ABU DHABI NATIONAL OIL CO. (ADNOC) RUWAIS - ABU DHABI
RUWAIS HOSPITAL and RUWAIS HOUSING CLINIC
RECORDS CLERK – TEAM LEADER APRIL 2006 to Nov 2007
In this position in ADNOC I was assigned as a Department Team Leader which
added more responsibilities to me, like the responsibility to solve any problems
could happen during my shift and monitoring my colleges work and advice them
how to do the best for the patients interests, reporting all the day activities to the
department supervisor, taking care of the cash flow of the day and preparing the
cash report of the shift, plus many other responsibilities.
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AL NOOR MEDICAL CO. - RUWAIS PROJECT RUWAIS - ABU DHABI
RUWAIS HOSPITAL and RUWAIS HOUSING CLINIC
MEDICAL RECORDS CLERK March 2001 to March 2006
Compiled, verified, typed and filed medical records.
Compile statistical data, such as admissions, discharges, deaths, births and
types of treatment given.
Operate computer to enter and retrieve data and type correspondence and
reports.
Post results of laboratory tests to records.
Maintain a high confidentiality of the records.
Review medical records for completeness, assemble records into standard
order and file records in designated areas according to numeric filing system.
OTHERS
HOLDING UAE DRIVING LICENSE.
REFERENCES
Mr. Jaber Al Hyaei (Administration Supervisor)
0097150-5166669
Mr. Mamoud Ibrahim ( Current Head of Department)
00971 50 823 3182
Mr. Mohammad A. Aziz ( Insurance Officer – Collegue)
00971 50 263 9223