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mohand ElgaafaryME
Open to opportunities

mohand Elgaafary

@mohandelgaafary

Detail-oriented medical billing specialist with expertise in claims resolution and eligibility verification.

Egypt
Message

What I'm looking for

I seek a mid-level role in medical billing or revenue cycle where I can reduce denials, optimize processes, and leverage payer portal expertise in a collaborative, compliance-focused environment.

I am a results-driven Medical Billing Specialist with hands-on experience in A/R follow-up, claim denial resolution, and insurance eligibility verification.

I have routinely processed and followed up on high-volume claims using portals such as Availity and Navinet, averaging 30 claims per day while maintaining HIPAA compliance and accurate documentation.

My background includes improving workflows and implementing new systems in IT and operations roles, training new staff on payer portals and verification procedures, and driving measurable improvements in accuracy and efficiency.

I bring strong communication skills in English and Arabic, a proven ability to work independently and cross-functionally, and a commitment to reducing denials and maximizing reimbursement.

Experience

Work history, roles, and key accomplishments

PB
Current

Medical Billing Specialist

PWE Medical Billing

Jan 2024 - Present (1 year 9 months)

Manage A/R follow-up and claim denial resolution, processing an average of 30 claims/day and appealing denied or underpaid claims to expedite payments and recover revenue. Analyzed denial trends, corrected billing errors, and provided reporting to revenue cycle management while ensuring HIPAA compliance.

AR

Call Center Agent

Al Basha Restaurant

Jan 2023 - Dec 2023 (11 months)

Handled customer orders and reservations with 98% accuracy, reduced average call duration by 15%, and supported promotional campaigns that increased promoted-item sales by 20%. Consistently maintained over 99% attendance and improved average order value through upselling.

PB

Eligibility Specialist

PWE Medical Billing

Verified insurance eligibility and benefits across Medicare, Medicaid and private payers using payer portals and direct communication, reducing rejected claims through proactive corrections and staff training. Maintained payer policy knowledge and ensured compliant handling of patient data.

Education

Degrees, certifications, and relevant coursework

NE

Nile Academy For Engineering

Architectural Engineering

2021 -

Studied Architectural Engineering with coursework and training completed beginning July 2021.

Tech stack

Software and tools used professionally

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mohand Elgaafary - Medical Billing Specialist - PWE Medical Billing | Himalayas