Doctor - Percertification Administrator (night shift)
À la une
Urgent

Aperçu de l'offre

Emplacement
Tunis, Tunis
Type d'offre
Temps plein
Salaire
3 000 DT - 5 000 DT par Mois
Négociable
Date de publication
20 jours

Détails supplémentaires

Identifiant
69903
Vues
81
Type de contrat
CDI

Description de l'offre

Main Mission: To give advices on medical requests from all departments and clients.

General Responsibilities:

-To Review pre-authorization and referral requests for medical appropriateness by using established clinical protocols to determine the medical neccessity of the request.

- To Handle medical queries received from both insured members and client companies.

-To check regularly the medical requests received via Intraqual.

- To advise the team on complicated pre-authorization cases falling outside the bounds of normal authorization protocol and guidelines.

- To organize medical training sessions for operation administrators.

- To dispatch and sign off claims having an amount exceeding 10.000,00.

- To foster an ongoing relationship with the world wide medical team and seek input, opinion or advice from theses resources when needed.


Requirements: 

1- Doctorate of medicine is a must.

2- TWO - THREE years experience minimum as a doctor or precertification administrator in insurance/TPA company is preferred.

3- English and French language proficiency another speaking language will be an advantage.

3- Prioritizing and time management skills, ability to actively listen, client service oriented, management and analytical skills.

4-Flexiblity to work night shifts, during weekends and public holidays. 


Don\'t hesitate to join our fast growing team by sending your CV to: 

[email protected] 

Emplacement

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