Mohamed Ali's resume provides his personal and contact information, education history, professional experience, and job duties. He has a BBA from the University of Madras in India and various computer certifications. His career has included roles as a ward data entry clerk, pharmacy cashier, and pharmacy insurance coordinator at New Dar Al Shifa Hospital. Currently, he works as an insurance officer at Al Seef Hospital, where his responsibilities include processing insurance claims, maintaining customer relationships, and ensuring proper billing and payments.

1. Mohamed Ali . A
Kuwait.
Phone :97416208
Email :mohamedali2910@gmai.com
CAREER OBJECTIVE
To obtain a position offering growth opportunities and excellent in challenging working
atmosphere contributing and upgrading through my skills.
Personal Profile
Name : A.Mohamed Ali
Fathers Name : Abdul Rahim
Date of Birth : 29-10-1981
Sex : Male
Nationality : Indian (Muslim)
Marital Status : Single
Languages Known : Arabic, English, Hindi, Urdu&Tamil.
Telephone : 97416208.
Visa Article : Transferable visa – (18).
Civil. I.D. : 281102903028.
Passport No : J 5394727
Place of Issue : Kuwait
Valid Up to : 20-03-2021
EDUCATIONAL QUALIFICATIONS
 BBA (Bachelor of Business Administrator)University of Madras in
Chennai,TamilNadu, India.
 Diploma in office Management, Kalki Computers, Pondicherry, India.
 Advanced Diploma in computer Hardware and Networking, CSC Computer
Education, Pondicherry, India.
Major Strength:
Good communication and computer skills, Analytical ability, hard working.

2. PROFESSIONAL EXPERIENCES
Career Profile No. 1
Company : New Dar Al Shifa Hospital, Hawally, Kuwait.
Designation : Ward Data Entry (Floor Secretary)
To explain the package details to the patient and their relatives,
entering the information into the system, preparing discharge bills
and relevant jobs.
Duration : From Feb 2006 to 2007.
Career Profile No. 2
Company : New Dar Al Shifa Hospital, Hawally, Kuwait.
Designation : Pharmacy CashierIncharge.
Provided customer and personnel assistance. Handled cash intake
inventory control, and light maintenance. Trained and scheduled
new employees. Instituted store recycling program benefiting the
Dillon Homeless shelter.
Opening closing cashier duties.Liable for selling, also answering
phone.Accountable for cash handling.
Duration : Form Mar 2007 to 2009.
Career Profile No. 3
Company : New Dar Al Shifa Hospital, Hawally, Kuwait.
Designation : Pharmacy insurance coordinator.
 Entering the claims data into system
 Processing the claims after proper investigation.
 Understanding the medical history of the clients.
 Reviewing the total premiums paid by the customer.
 Resolved problems resulting from claim settlement.
 Performed audit of the claims to ensure quality processing.
 Followed adjudication policies and procedures to ensure
proper payment of claims.
 Delivered timely service to the members, providers, billing
departments on the subject of claims
Duration : Form Mar 2009 to Dec 2014.

3. Career Profile No. 3
Company : Al Seef-Hospital, Salmiya, Kuwait.
Designation : insurance Officer.
 Entering the claims data into system
 Responsible to handles insurance approval transaction after
verification
 Checking insurance coverage is accurate.
 Reviewing insurance invoices after approval.
 Maintained transaction report for client billing
 Acquired specific CPT and ICD-9 codes to ensure proper
treatment and billing of all detailed procedures
 Processing the claims after proper investigation.
 Understanding the medical history of the clients.
 Reviewing the total premiums paid by the customer.
 Resolved problems resulting from claim settlement.
 Maintaining relationships with insurance agents, and
customers
 Communicates with pharmacy benefit managers to
determine patient coverage for the requested medication,
and to help navigate through complex reimbursement
issues.
 Maintained our system to ensure all insurance fee
schedules are current and up to date.
 Performed audit of the claims to ensure quality processing.
 Followed adjudication policies and procedures to ensure
proper payment of claims.
 Delivered timely service to the members, providers, billing
departments on the subject of claims
Duration : Form Dec 2014 to Till Now.

4. Job Detail Working in ATS & SAP Programmers.
Insurance Department:
Handling the All types of Insurance Company taking the approval by online. All patient
Maternity Cases and also all department Surgical,GYN,
Ortho,Urology,Pediatric,Neurology,Medical cases, Dental Claims for Inpatient and also
Outpatient Emergency ward, Laboratory, Radiology, Day cases etc., before getting the approval
in online wants to be check the Insurance card Validity date or full coverage to the with Medical
report Clear Diagnosis, Treatment from the Related Doctors.
After we got the approval we will inform to the patient by telephone, if the Insurance co.
was rejected patient wants to pay cash.
Data EntryProcesses billing to Patients.
 Lab Investigation & Radiology test entering
 Medical Procedures, related services, Package Entering.
 Item requirements for the floors – Entering.
 Collecting the necessary documents for insured patients &obtaining signature from the
patients/relatives in the insurance forms.
 Preparing the Discharge bills.
 Bill details are explained to patient or patient relatives
 Payment collecting from the patients.
 Payment can be paid by cash, K-net, Checquebook.
 Collection of Cash, safekeeping and handing over to the Main Cashier at the end of the
day.
 If any discount, to be arranged with accounting division and Management division as
well.
 If the payment is more than the total bill, the remaining amount will be refunded to the
patient or patient relatives.
 Support services to the staff nurses by attending incoming calls.
DECLARATION
I hereby declare that all information furnished above is true and correct to the best of my
knowledge and belief.
Place: Hawalli Mohamed Ali. A