• Developing and implementing new policies and procedures for smooth running of business operations and DHA compliance.• Managing and maintaining all types of communications with DHA, MOH, FANAR and other governing bodies.• Vendors Negotiations for better pricing and payments plan.• Monitor the timely maintenance in clinic premises including the update of maintenance contracts and PPM.• Investigation, diagnosis, resolution and recovery for hardware/software problems. • Installation and Administration of Windows Server Domain Controllers.• Assisted in troubleshooting user problems relating to Operating System issues, Upgrades, Network Connectivity, MS Office Products. • Responsible for Designing and Implementation of Network Infrastructure.• Plan, coordinate and implement network security measure in order to protect data, software and hardware.• Handling maintenance and troubleshooting in CCTV.• Handling all problems related to IT in Financial Sectors.• Co-Ordinating with all Telecom sectors and resolving IP-PABX related issues.• Technical Support for Dynamic & Static IP Configurations on wireless receivers & and network management.• Managing and monitoring Insurance Operations Like Processing, Payment Issues, Payment Allocations, Submission & Resubmission of Claims Through Online DHA E-Claim link.• Experienced in taking Pre-Approval for Medical and Dental Claims.• Monitoring the Re submission of rejections from Insurance Co. For Settlement and making the insurance rejection minimal.• Monitoring and preparing insurance receivables reports.• Coordinates, Liaises and Networks Between Insurance Companies.• Negotiations and communication with insurance companies for payments follow up as well as keeping the prices optimal for maintaining profitability of company.• Managing and supervising visa related issues of the facility.• Managing and reporting the investors’ stakes.• Recruiting and Training Administrative Employees.

• Extracting Claims Report & Payment Details Online System.• Rejections Resubmission To Insurance Co. For Settlement.• Cross Verification & Eligibility Checking Of Claims Before Submission To Insurance Co. During Batch Submission on Monthly Basis.• Categorizing Claims With Reference To Resubmission & PHY Follow-up.• Payment Follow-up with Insurance Co.• Minimizing Rejections Ratio with Total Control Over Processing & Procedure As Per Ins Co.• Re-Billing Claims during Processing Via Retail Clinical Management Software.• Giving Insurance Sales Report To Management For Their Review & Act.• Statement Preparation & Submission To Ins Co. After Overall Review As Per Protocol Of Ins Co.• Allocation Of Payment As Per Payment Received From Insurance Company.• Assists The Pharmacies And The Claims Department Executives In Carrying Out Their Duties Effectively.• Assists The Pharmacies In Entering Claims In Real Time, And Medication To Be Covered.• Responsible For Approval Or Disapproval Of Insurance Claims• Coordinates, Liaises And Networks Between Insurance Companies.• Manages Filling And Tracking Insurance Claims And Informs Patients Of Their Claims Status. • Cross Verifies The Sales Report And The E-Claim Entry And PBM (Prescription Benefits Management) To Be Submitted In DHPO.• Responsible In All Claims Processing (E-Claim, PBM, Offline) In Respective Network Insurance Companies.• Thorough With Rules And Regulations Governing The Insurance Policies And Procedures• Compiles Monthly Sales Reports And Amount Settlement And Sent To The Head.