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4 Results Found Utilization Review

Hidden Name

10+y of Exp

Senior Medical Insurance Claims Pharmacist | Claims Adjudication | Medical Necessity & Coverage Review Egypt, Cairo | 43 yrs. old

Hidden Name

Senior Medical Insurance Claims Pharmacist | Claims Adjudication | Medical Necessity & Coverage Review
10+y of Exp Egypt, Cairo 43 yrs. old
Working but looking for new opportunities
العمل الجاد المتواصل تحت ضغط Claims Adjudication & Review Policy & Compliance Communication & Collaboration Claims Adjudication & Review: Claims Adjudication, Medical Necessity Review, Coverage Determination, Utilization Review, Prior Authorization Policy & Compliance: Insurance Policy Interpretation, Clinical Guidelines, TPA Operations, Risk Management, Compliance, Quality Assurance +12 +16 +15
15,000 EGP / Monthly

Hidden Name

10+y of Exp

claims manager Lebanon, Mount Lebanon | 41 yrs. old

Hidden Name

claims manager
10+y of Exp Lebanon, Mount Lebanon 41 yrs. old
Unemployed. Looking for a job
Healthcare & TPA Claims Operations Claims Processing & Adjudication Medical Audit & Clinical Review Medical Coding (ICD/CPT) KPI & Performance Management Workflow & Process Optimization +10 +14 +13

Hidden Name

1-3y of Exp

Adminstrator Egypt, Cairo | 38 yrs. old

Hidden Name

Adminstrator
1-3y of Exp Egypt, Cairo 38 yrs. old
Working but looking for new opportunities
Case Management Insurance Coordination Claims Processing Pre-Authorization Utilization Review Medical Approvals +6 +10 +9

Hidden Name

1-3y of Exp

Home Care Account Advisor ‏at Dr. Soliman Fakeeh Hospital (DSFH) Egypt | 24 yrs. old

Hidden Name

Home Care Account Advisor ‏at Dr. Soliman Fakeeh Hospital (DSFH)
1-3y of Exp Egypt 24 yrs. old
Working but looking for new opportunities
Medical Case Review Clinical Data Analysis Lab & Radiology Interpretation Clinical Documentation Treatment Evaluation EHR Systems +5 +9 +8