Nadine Toufeily
Markham,ON
Summary
Organized and client-focused healthcare professional with over 10 years of experience in patient care, claims processing, and administrative support. Skilled in assisting healthcare teams, managing medical records, and performing office tasks such as processing insurance claims and maintaining medical equipment and supplies. Strong interpersonal skills with a reliable, detail-oriented approach to all tasks. Able to thrive in a fast-paced, team-oriented environment, ensuring accuracy and efficiency.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Claims Administrator Supervisor
SNA S.A.L
10.2021 - 11.2024
- Assessed claims with a focus on coverage and compliance, ensuring all relevant information was accurately reviewed
- Engaged with service providers and clients to ensure proper coverage, demonstrating strong communication skills
- Verified and confirmed payments to service providers based on evaluations, ensuring that financial transactions were properly handled
- Contributed to the development of claims procedures, ensuring efficiency and accuracy
- Reported market feedback to the claims manager, offering insights into trends and developments
Case Manager
Best Assistance Lebanon
01.2019 - 09.2021
- Managed and facilitated patient care through thorough assessment, evaluation, and planning
- Worked closely with patients, families, and physicians to ensure high-quality care
- Acted as an advocate for patients regarding insurance coverage and financial assistance
- Kept detailed and accurate patient records, ensuring all clinical documentation was up to date and compliant with regulations
- Regularly communicated with third-party payers to ensure proper claims processing
- Identified and investigated potentially fraudulent claims, demonstrating attention to detail and analytical skills
Claims Specialist
GlobeMed Lebanon
09.2015 - 11.2018
- Processed and reviewed health insurance and workers’ compensation claims, ensuring all documentation was correct and complete
- Communicated with healthcare professionals to verify patient information for claim processing
- Responded to patient inquiries regarding insurance coverage, claims status, and health benefits
- Managed the administrative flow of claims and ensured timely processing of documents
Registered Nurse – Coronary Care Unit
AUBMC (American University of Beirut Medical Center)
02.2014 - 09.2015
- Assisted physicians in the assessment and treatment of coronary care patients, providing high-quality nursing support
- Managed medical equipment, ensuring it was set up, maintained, and cleaned as per hospital standards
- Monitored patient records, including vital signs, prescriptions, and medical histories
- Collaborated with healthcare teams to ensure efficient patient care and follow-up
- Educated patients and families about treatment plans, recovery processes, and lifestyle changes
Education
Bachelor's Degree - Nursing
American University of Beirut
Beirut,Lebanon05.2014
Baccalaureate - Life Sciences
Lycee Des Arts
08.2010
Skills
- Patient Care Assistance
- Claims Processing
- Prescription Record Management
- Interpersonal & Communication Skills
- Client Service & Support
- Organizational & Time Management Skills
- Claims auditing
- Customer communication
- Claims processing
- Microsoft office
Additional Information
Fluent in Arabic and English, Highly organized, with a strong attention to detail and ability to maintain accurate records., Reliable team player with a strong focus on client service and patient care., Available to work full-time on-site, with flexibility to assist in various tasks as needed.
Languages
English
Native or Bilingual
Arabic
Native or Bilingual
Certification
- Certificate of Enrollment in MAGNET, 2014
- Certification of training completion at Red Cross, 2014
Timeline
Claims Administrator Supervisor
SNA S.A.L
10.2021 - 11.2024
Case Manager
Best Assistance Lebanon
01.2019 - 09.2021
Claims Specialist
GlobeMed Lebanon
09.2015 - 11.2018
Registered Nurse – Coronary Care Unit
AUBMC (American University of Beirut Medical Center)
02.2014 - 09.2015
Baccalaureate - Life Sciences
Lycee Des Arts
Bachelor's Degree - Nursing
American University of Beirut
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