
Rana Nabil
Medical approval (Nextcare Allianz )
New Cairo, Cairo, EgyptWork 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).
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 SchoolJan 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·2022Medical approval and audit
Innovative training academy·2022ACT
Qatar university·2013ILETS
Qatar university·2012ILETS
British council in Qatar·2012