Alaa Eldaly
About
Detail
Revenue Cycle Management | LSSGB | Data-Driven Revenue Optimization | Process Optimization | Insurance Compliance
Egypt
Résumé
Jobs
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Operations Team LeaderInnovative Work SolutionsMar 2026 - Current (4 months)- Revenue Cycle Management SpecialistInnovative Work SolutionsSep 2025 - Mar 2026 (7 months)
- Revenue Cycle ManagerCOB SolutionJan 2024 - Aug 2025 (1 year 8 months)As a skilled Revenue Cycle Manager, I oversee multiple medical service entities across New York, Texas, and Indiana, managing various billing processes to ensure optimal financial performance. With deep expertise in Commercial, No-Fault, Workers' Compensation, and Pediatric services, I also collaborate with vendors such as the Department of Education (DOE) and Early Intervention (EI) programs. My experience spans multiple billing types, including Physical Therapy (PT), Occupational Therapy (OT), Speech Therapy (ST), Durable Medical Equipment (DME), and Braces. I possess a strong understanding of billing and authorization principles, enabling me to achieve high payment percentages and maximize payment rates through efficient processes and s
- Billing and Authorization Team LeaderCOB SolutionJun 2023 - Jan 2024 (8 months)As a Medical Authorization Team Leader, my responsibilities include: 1. Leading and supervising my team of medical authorization specialists: I oversee a group of professionals who handle medical authorizations. I provide guidance, support, and training to ensure that they perform their duties effectively and efficiently. 2. Overseeing the entire medical authorization process: I am responsible for the overall management of the medical authorization process. This involves ensuring that all necessary documentation and information are collected and reviewed accurately and in a timely manner. I coordinate with healthcare providers, insurance companies, and patients to obtain the required authorizations. 3. Developing and implementing authori
- Senior Authorization SpecialistCOB SolutionNov 2022 - Jun 2023 (8 months)- Review and evaluate patient medical records to determine the necessity of requested services or treatments. - Verify insurance coverage and eligibility for services or treatments. - Request prior authorization from insurance companies or other third-party payers for services or treatments. - Follow up on prior authorization requests to ensure timely approval or denial. - Communicate with healthcare providers and insurance companies to resolve authorization issues, including denials and appeals. - Maintain accurate and complete records of authorization requests and outcomes. - Monitor changes in insurance requirements and regulations, and adjust authorization processes accordingly. - Educate healthcare providers and patients on the authori
- Authorization specialistCOB SolutionFeb 2022 - Nov 2022 (10 months)- Verify the eligibility and benefits of members - Request prior authorization for services or treatments - Track the status of prior authorization requests - Respond to clients' inquiries about payments and address their concerns - Handle denials of authorizations for services or treatments
- CSI DiplomaBenchmarkJul 2021 - Oct 2021 (4 months)The diploma covered: - AutoCAD drawing - High rise buildings design - Structural handling of earthquakes and lateral loads - Tanks design - Shear walls design - and other concrete constructions.
- Civil Engineering InternTalaat Moustafa Group HoldingAug 2020 - Sep 2020 (2 months)Summer training on concrete works, technical office, and finishes
- Civil Engineering InternThe Arab ContractorsJul 2019 - Aug 2019 (2 months)Internship at Technological Institute of Construction And Management Engineering with find grade Very Good
Education
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- Bachelor's degree, Civil EngineeringCairo UniversityJan 2017 - Dec 2023 (7 years)
Projects (professional or personal)
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