Mona Mahmoud

Senior Inpatient Claims Officer

Mona Mahmoud is a seasoned professional in the healthcare and pharmaceutical industries, currently serving as a Senior Inpatient Claims Officer at Nextcare since June 2022. In this role, Mona leads the pre-certification process for inpatient medical procedures, interpreting policy conditions to optimize patient access and minimize claim denials. Previously, as a Senior Pre-Certification Officer at Nextcare, responsibilities included managing complex medical approvals and mentoring junior team members. Mona began a career at the Egyptian Drug Authority as a Clinical Trial Assessor and GCP Inspector, providing technical support and ensuring compliance with regulatory guidelines. Earlier experience as a Shift Manager at Care Pharmacies involved overseeing operations and driving a significant sales increase. Mona holds a Bachelor of Pharmacy from Ain Shams University, specializing in Pharmaceutics and Drug Design.

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