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Medical Approvals Doctor (Authorization Agent)

GlobeMed Egypt

0 - 2 years Cairo - Egypt

Bachelor of Pharmacy(Pharmacy). Any Nationality


, Posted on May 28, 2018 1 Opening

Job Description

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Managing daily patient needs to assure high level of service quality and satisfaction
• Negotiate the cases with the health care providers (hospitals, pharmacies, labs,...)
• Respond to prior approvals requests with approval/rejection based upon the case
• Her/his objective is to facilitate timely delivery and patient access to the various health care services.
• Advise on recommended actions based upon good medical practices
• Adhere to the agreed service level time to ensure a good quality of service delivered
• Ensure that all medical information is kept confidential
• Communication with account executives/managers to help them responding to medical inquiries
• Reviewing incoming/outgoing pre-authorization requests
• Service facilitation to insured members
• Day to day tasks as assigned


Industry Type : Insurance
Functional Area : Doctor / Nurse / Paramedics / Hospital Technicians / Medical Research

Desired Candidate Profile

Bachelor degree of Medicine & Surgery is a MUST.
• Very Good command of English Language.
• From 0 to 2 years of experience in health care industry.
• Fresh Graduates can apply ( only if the internship was finished ).
• Excellent verbal Communication skills.
• Must be computer literate.
• People-oriented, result driven and good decision making skills are required.
• Ability of commitment to a full time/shift based job (40 hrs./week).
• Ability to work independently and as part of a team.
• Previous Experience as a Medical Approvals doctor or in Medical Insurance field is an asset.
• For Males, Military Service should be completed/exempted.

Keywords

Internship Medical insurance Health care services Accounts Executive Service quality Service level Management Doctor Business Executive

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GlobeMed Egypt

About this Company
Being one of the first organizations to introduce the Third Party Administrator (TPA) model in the region, GlobeMed combines over 21 years of multifaceted know-how, technical expertise, and information technology to provide well-tested solutions in the management of healthcare. ..
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Industry:
Healthcare and Medical Services
Insurance
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