Experienced healthcare professional with expertise in claims adjudication, Proficient in managing complex cases, streamlining healthcare processes, and ensuring compliance with regulatory standards.Combining clinical knowledge from surgical and emergency medicine roles with operational expertise, I am passionate about leveraging innovation to enhance healthcare systems and deliver impactful results. Open to collaborations and opportunities that drive advancements in healthcare.

- Managed patient accurately and efficiently to maintain smooth running of general surgery department.- Maintained continued personal development to improve professional knowledge and competence.- Oversaw in the outpatients clinic, ensuring accurate, timely assessments and diagnoses.- Carefully managed admission in about 100 beds in the ward a month and discharge of patients in line with department policies and targets.- Thoroughly supervised and taught junior doctors various procedures.- Provided outstanding patient care through considered consultations, telephone triage, medication reviews and clinical administration.- Always developing personal skills , interesting in diabetic foot management and has a lot of success cases .- Delivered to the highest personal and professional standards, making individual patient care the priority.- Consulted with patients about special needs, cares and concerns throughout treatments.- Collaborated with nurses to triage and priorities patients in high-pressure situations, making rapid and effective decisions.- Prescribed and thoroughly explained medications and treatments to patients to maintain patient involvement in health care plans.- Educated patients on treatment options for various illnesses, collaborating with specialists to provide thorough education.Proactively screened patients for disease risk factors and early signs of illness.- Advised patients on post-treatment care options, at-home plans and effective rehabilitation.- Trained many student GPs over years.Expertly handled emergency procedures, operating effectively, objectively and responsibly under pressure.- Utilised to aid development of junior surgeons through comprehensive, practical coaching and mentoring.- Communicated effectively and sensitively with patients, relatives and colleagues to optimise experiences.- All this was supervised by mr. Dafalla Shani - the unit consultant

- Manage the emergency department during shifts and provide care for a wide variety of medical conditions, including trauma resuscitations, cardiac arrests, acute coronary syndromes, strokes, pediatric emergencies, obstetric emergencies, and other life-threatening illnesses.- Provided direct patient care in collaboration with physicians and nurses to develop an appropriate plan of treatment or disposition.- Evaluate, prioritize, diagnose and stabilize about 50 patients a day that come into the emergency room. - Analyze complex trauma conditions and quickly determine treatments for various illnesses and injuries.- Handle large case loads, long hours and various shifts from early morning to late evening.- Evaluate preliminary results and administer initial treatment such as stitching lacerations, splinting/casting broken bones or installing tubes/devices.- Perform emergency surgeries and occasionally assist specialists for complex surgical procedures.- Lead efforts to resuscitate patients using CPR techniques and defibrillator paddles.Operate diagnostic testing equipment such as EKG’s, Scans, ultrasounds and other devices.- Conduct post stabilization procedures which include referral to specialists, migration to hospital rooms or discharge.- Show compassion when dealing with family members, keeping families informed of patient status.- All this was supervised by Hussein Abo akar - ER consultatnt.

- Reviewed medical reports related to disability claims.- Noted evidence needed to document facts.- Made final determinations of eligibility.- Easily worked with all staff and claimants as well as both paper and digital files.- Adjudicated complex medical benefits claims.- Researched issues, requested additional information, and collected written responses.- Answered customer service inquiries about plan benefits.- Followed all regulatory requirements and procedures.- Developed and maintained tracking reports for all cases and inquiries. Stayed up-to-date on latest plan updates, regulations, and policy changes.

Practiced in operations lists, prepared patients for surgery , performed minor surgeries eg. epigastric and paraumbilical hernias repair, lump excision and biopsies.

Performs inpatient, ambulatory surgery, emergency room, outpatient and evaluation/management coding audits on coding colleague work- Provide remote colleague educational sessions on issues identified during the audit process- Communicate quality issues to Remote Manager and Remote colleagues- Provides educational services to colleagues- Performs DRG reimbursement, data quality/accuracy, physician services and compliance audits-Acts as liaison with colleague manager-Maintains strict patient, physician, hospital and colleague confidentiality and follows all federal, state and hospital guidelines for release of information.

Clerked and managed common surgical emergencies and trauma and took responsibility of preoperative and postoperative preparations as well as performed minor and some major operations under supervision in elective set