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Job Description
Job Description:
- Answer inbound calls as well as assist customers who have specific inquiries.
- Queries may range between coverage questions, network location and medical questions.
- Receive requests from Healthcare providers (Hospitals, Laboratories, pharmacies…) and reply with approval decision (approved or rejected).
- Participate in committees, work groups, and/or process improvement teams that improve patient satisfaction.
- Review all medical approvals & claims.
- Issuance of necessary medicines and medical approvals - surgeries - X-rays - tests that require it
- Medical solving customer problems.
Job Requirements
- Bachelor of Medicine and Surgery.
- Minimum three years of professional experience as medical doctor in Healthcare facilities (Hospitals), (Surgery or Intl medicine preferable).
- Experience in medical insurance is preferable.
- Excellent verbal Communication skills.
- Excellent Listening skills .
- Must be computer literate.
- Excellent command of English language.
- Ability to work independently and as part of a team.
- Decision Maker & high problem solving skills
