Precertification Officer OP

• Dec 2022 - Present

Medical approval

• Aug 2022 - Dec 2022

• Making decisions whether approving or rejecting the alternative medication according to the medical insurance company’s guidelines and the compatibility of the active ingredients and concentrations. ▪ Checking the eligibility of the claims regarding of its date, the duration of medication, stamp validity, diagnosis, compatibility of drugs together acc to the diagnosis written. ▪ Adjust the all the claims requirements to be valid and request an online approval. ▪ Checking the concentrations, doses and quantities of each chronic medication of each prescription. Show less

Medical Insurance Biller

• Oct 2022 - Nov 2022

It was something new for me in the medical insurance field which field I’m interested in and it was an excellent experience and opportunity in my career. My responsibilities :- • charge of calculating and collecting payments for medical procedures and services. Their work includes updating patient data, developing payment plans, and preparing invoices. They work in medical administrative offices to ensure that patients are billed quickly and accurately. • Preparing and submitting billing data and medical claims to insurance companies. • Ensuring the patient’s medical information is accurate and up to date. • Preparing bills and invoices, and documenting amounts due for medical procedures and services. •Collecting and reviewing referrals and pre-authorizations. Monitoring and recording late payments. • Following up on missed payments and resolving financial discrepancies. • Examining patient bills for accuracy and requesting any missing information. • Investigating and appealing denied claims. • Helping patients develop patient payment plans. Maintaining billing software by updating rate change, cash spreadsheets, and current collection reports. Show less

Shift Manager

• Jun 2021 - Aug 2022

New experience gained in medical insurance field ( claims and approvals ) while working on many company systems such as : 1- I Care system ( AXA / Globemed / Met life ) 2- Pulse ( Nextcare ) 3- Nice deer ( Al Ahly medical / egycare / Misr ) 4- portal Yodawy ( Unicare / Careplus ) 5- Bank Misr Also, Responsible for the daily operations of the pharmacy including : • dispense prescription medicines to the public, ensure that different treatments are compatible. • manage, supervise and train pharmacy support staff. • check dosage and ensure that medicines are correctly and safely supplied and labelled • liaise with doctors about prescriptions. • sell over-the-counter medicines. • advise patients of any adverse side-effects of medicines or potential interactions with other medicines/treatments. • manage a needle and syringe exchange. • offer specialist health checks, such as blood pressure and cholesterol monitoring and diabetes screening. • run stop-smoking clinics and weight-reduction programmes. • arrange the delivery of prescription medicines to patients. • manage finance and budgets. • keep up to date with current pharmacy practice, new drugs and their uses. Show less

Community pharmacist

• Jan 2022 - Jun 2022

Community pharmacist

• Jun 2017 - Oct 2021

I earned great experience from working in this great place. My responsibility:- Responsible for the daily operations of the pharmacy including : • dispense prescription medicines to the public • ensure that different treatments are compatible • check dosage and ensure that medicines are correctly and safely supplied and labelled. • liaise with doctors about prescriptions. • sell over-the-counter medicines. • advise patients of any adverse side-effects of medicines or potential interactions with other medicines/treatments. • manage a needle and syringe exchange. • offer specialist health checks, such as blood pressure and cholesterol monitoring and diabetes screening. • arrange the delivery of prescription medicines to patients. • manage finance and budgets. • keep up to date with current pharmacy practice, new drugs and their uses. Show less

Clinical pharmacist training

• Feb 2020 - Apr 2020

It is a great place to get more and more knowledge and great experience 👌♥️ It is a great place to get more and more knowledge and great experience 👌♥️

Clinical Pharmacist

• Feb 2019 - Apr 2019

Clinical Pharmacist training

• Feb 2019 - Mar 2019

Soft skills workshop

• Feb 2018 - Feb 2018

First Aid Attendant

• Jul 2017 - Jul 2017