Approval doctor - Medical coordinator - Approval analyst

• Nov 2021 - Present

Review approval requests (Pharmacy , Labs, scans , physiotherapy , Dental) and take decision after medical justifying the case Review and submit all approvals requests on-time. Receiving calls from clients to clarify any medical concerns Provide COVID 19 Tele services to mild and moderate cases and follow up with the cases till the recovery. Issuing preauthorization approvals depending on each client endorsement Ensure the delivery of best-in-class service for patients, provide clarification regarding policy, medical rejection, pending requests to contribute to patients satisfaction. Fraud and abusive behavior detection and processing after cooperation with medical analysis team Medcial coordinator Review all patients' requests via portal , mobile application , Hr and mail and respond with approvals depend on medical justification and ensure that patient insurance policy is eligible and covers the required.

Pharmacist

• Jan 2021 - Nov 2021

Pharmacist, GizaCommunity pharmacist ,2020 - Present•getting medical insurance approvals• dispensing drugs for medical insurance• preparing drugs for patients• shift management• patient counseling• drugs transactions between branchesExperience in medical insurance/ Insurance companies/claim entryDuring this work period i have gained a 1 year great experience in medical insurance field as i have worked and got in touch with many of insurance companies in Egypt from which i have gained experience to feel comfortable in this fieldi have trained well on - how every insurance system works - what is the process of getting medical approvals -what are the limitations - Different types of claims and what are the rules for each type - types of drugs that needs prior medical approval - online insurance system vs offline system - how to take a visa number for a certain claim

Internship Trainee

• Dec 2020 - Nov 2021

Counter pharmacist trainee at el ezaby pharmacy

pharmacist trainee

• Jun 2019 - Sep 2021