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Policy Intake Officer

NEXtCARE
New Cairo, Cairo
Posted 3 years ago
130Applicants for1 open position
  • 17Viewed
  • 0In Consideration
  • 0Not Selected
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Job Details

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Job Description

  • The After Sales Support – Policy Intake is accountable for reviewing and maintain the TOB by checking the eligibility and exclusions program prior clients approvals. This position requires a thorough understanding of medical treatments and admission process. 
  • The individual is responsible for ensuring that clinical and administrative intake services are provided for patients. 
  • In addition to that, he is responsible for creating the products of the policies on the system.
  • Review of table of benefits inclusions, exclusions, limits, and sub-limits in order to ensure applicability and adaptability of policy terms and conditions with NEXtCARE system and  process or to do the needed modification in the internal process.
  • Applying the TOB terms and exclusion on the MOB by creating the products of the policies on TATSH
  • Payers and clients communications.
  • Coordination with all parties to understand all treatment plans.

Job Requirements

  • Bachelors Degree require (Pharmacy)
  •  Experience from 1 - 3 years 
  • Preferred insurance and medical back ground.
  • Through knowledge and experience of Microsoft Office applications.
  • Good in Microsoft Office applications (including Word, Power Point & Excel and Outlook) and general Internet navigation and research skills Show flexibility, excellent interpersonal skills, project coordination experience.
  • Good communication skills.
  • Females are preferred

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