kerolos Effat takla

Senior medical officerMPM[Medical provider management ]Full Time

Supervisor Operations & Claims AuditingFull Time

• Job Details:1-Operations and Authorizations. Process approvals according to the policy of each insurance company. Examination of claims and verify insurance eligibility . Coordinate and perform verifications of insurance benefits.  Reviewing patient's case and insurance coverage to personalize the call contents . Provide clinical information as needed, emphasizing the medical information for the requested procedure to insurance companies for pre-authorization procedure. Ensure referring physician obtains pre-authorization as needed from insurance company. Assisting patients in obtaining and understanding medical benefits.   2- Planning. 3- Research and development . 4- Reviewing Hospitals contracts