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Rana Nabil

Medical approval (Nextcare Allianz )

New Cairo, Cairo, Egypt

Work Experience

  • Medical Approval OfficerFull Time

    Nextcare (Allianz)

    Jan 2023 - Present -2 yrs, 7 months

    Egypt

    • Job Details:1)Approve and reject dispensing medications requests in the prescriptions attached by the client according to his history , labs , scans , diagnoses, age and the policy of the client’s company and contract . 2)checking the eligibility. 3) check if the attached labs and prescriptions are original or fake . 4) complete more than 130 requests ( approvals and cases ) in the shift . 5) check if the disgnosis and medications are coverd or uncovered according to the contract of the client’s company. 6) check name, id number , date , diagnosis , medication, dose , durations , name of the doctor and the stamp of the provider on the prescription before approving. 7)Data entry for the companies to update client’s chronic medications every month on the system . 8)Approving or rejecting highcost medications according to the company’s contract with nextcare 9) ensure that the right medication is dispensed for the right patient with the right diagnosis and regimen. 10)check amount consumed by the clinet from the beginning of the contract ( limit and sublimit).
  • Shift Manager pharmacistFull Time

    Seif pharmcy

    Nov 2019 - Present -5 yrs, 9 months

    Egypt , Cairo

    • PharmacistFull Time

      Roshdy Pharmacies

      Oct 2019 - Nov 2019 -1 month

      Egypt , Cairo

      • Hospital Pharmacist traineeInternship

        National Hepatology and tropical medicine research institute

        Oct 2018 - Nov 2018 -1 month

        • Education

          • Bachelor's Degree in Pharmacy

            Future University in Egypt (FUE)

            Jan 2019 

          • High School - Other

            Egyptian Language School

            Jan 2014 

          Skills

          • computer
          • Microsoft Office
          • Hard Work
          • Medical Claims
          • Problem Solving
          • Pharmacy
          • Management
          • Medical Insurance
          • Sales Plan
          • studying
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          Languages

          • English

            Advanced

          Training & Certifications

          • Medical approval and auditing

            Innovative training academy·2022
          • Medical approval and audit

            Innovative training academy·2022
          • ACT

            Qatar university·2013
          • ILETS

            Qatar university·2012
          • ILETS

            British council in Qatar·2012
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