
Salma EL-Ramly
Pre-Authorization Ambulatory Agent
Mokattam, Cairo, EgyptWork Experience
Pre-Authorization Ambulatory AgentFull Time
- Job Details:My role is to ensure that approved medical services comply with the insurance company's policies and guidelines.I assess whether prescribed medications and outpatient services align with the patient's coverage and medical necessity criteria. This role involves evaluating requests for ongoing prescriptions related to chronic conditions assessing whether the prescribed medications are medically necessary, and aligning with the patient's health needs. This process helps ensure appropriate coverage for long-term medications necessary to manage chronic health conditions.
Education
Bsc in Pharmacy
Modern University for Technology and Information (MTI)Jan 2015 - Jan 2020 - 5 yr
Skills
Languages
English
FluentGerman
Beginner
Training & Certifications
Handling Customer Complaints Course
The Career Development Center in The American Chamber of Commerce Egypt·2022Patient counseling
Epsf·2019