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General Practitioner

About Candidate

Licensed GP (SCFHS) with a solid background in clinical practice and growing expertise in
healthcare insurance operations. Completed multiple certifications in RCM, claims management, and denial handling. Skilled in applying medical knowledge, analytical thinking, and AI-driven automation to enhance accuracy, policy compliance, and process efficiency in medical claims
and approvals

Salary
SAR
Nationality
Sudanese
Certifications

Professional Licensure:
Saudi Commission for Health Specialties (SCFHS) License. Jan 2024
Certifications & Training:
-Revenue Cycle Management (RCM) Course (30 hours), Daman Academy. Feb 2025
-Nphies Billing Cycle Training Course (10 hours).Innovative Academy. Nov 2024
-Medical Billing & Full RCM Training.Innovative Academy Oct-Nov 2024
-Health Insurance Diploma (70 hours),HICEPS. Feb 2024
-Medical Claims Auditing & Hospital RCM. Dec 2023
-Health Insurance Fraud Basics & Medical Marketing. Dec 2023
-Insurance Malpractice & Medical Pricing Services. Dec 2023
-Customer Service in Healthcare & TPA A–Z. Dec 2023
-Claims Rejection Management & Billing Basics. Dec 2023

Looking for Job Title
General Practitioner
Iqama
Resident

Location

Education

M
MBA in Healthcare Management 2015
MBA in Healthcare Management
B
Bachelor of Medicine & Surgery (MBBS)
University of Khartoum, Sudan

Work & Experience

G
General Practitioner 2020 - 2023
Al Rahma Centre, Sudan

● Ensured accurate and detailed patient documentation to align with high standards of clinical care. ● Provided comprehensive patient care, including diagnosis, treatment planning, and follow-up. ● Focused on clear communication with patients regarding their conditions and treatment plans. ● Adhered strictly to medical ethics and healthcare compliance protocols

H
House Officer 2015 - 2016
Ministry of Health, Sudan.

Skills

Policy & Payer Coordination
90%
Revenue Cycle Management (RCM).
90%
Medical Coding (ICD-10-AM, CPT).
90%
Pre-authorization & Eligibility Verification
90%
Denial Management & Compliance Review
80%
Utilization Review & Case Coordination.
90%
Documentation Accuracy & Quality Control.
90%