Medical Claim Analyst
Al-Nisr Al-Arabi Insurance Co.
Total des années d'expérience :9 years, 0 Mois
1. Processing the inpatient and outpatient Medical claims of the department (according to authority limits (, and produce required batch bordereau.
2. Prepare inpatient or outpatient medical procedures approvals.
3. Issue cheques for health care providers (HCP) and clients (including related procedure and reporting)
4. Prepare claim recovery reports as required.
5. Prepare chronic medications forms for specified insured Members.
6. Prepare outgoing batches for delivery to clients or HCPs.
7. Service the incoming queries from clients or HCPs or other departments in the company.
1- phlebotomy
2- Perform the following laboratory diagnostic tests:
a- General chemistry diagnostic tests
b- CBC and blood film.
c- Urine and stool analysis
d- Infectious immunological tests
3- Laboratory equipment maintenance
4- Establishment of quality control and quality assurance program
I. Microbiology subsection experience:
• Bacteriology
• Mycology
• Mycobacteriology
• Urine analysis and parasitology
• Media preparation
• Clinical specimen reception and culturing process
II. Microbiology automated systems:
• Automated blood culture system (Versa trek and Bactalert 3D systems)
• Automated mycobacterium culture system (versa trek system)
• Automated bacterial identification system (Vitek 2 compact system)
• Automated media preparation system (Integra system)
• Automated urine analysis system (Roche cobas u 411 system)
III. Collage of American pathologist (CAP) certification:
• Writing internal working polices and procedure.
• Processing external proficiency testing samples.
• Validation and verification of microbiology diagnostic tests.
• ATCCs preservation and maintenance.
• Establishment of quality control and quality assurance program.
• Participated as key person in CAP inspection rounds.
1- Blood Unit phlebotomy
2- Blood component separation (Packed RBCs, Plasma, Platelets... etc)
3- Blood unit cross match
4- Perform immunohematological tests (coombs test, Antigen profile.... etc)
MSc Research Project: • Susceptibility profile of multi drug resistance Acinetobacter calcoaceticus-baumannii complex isolated in Jordan. Advisor: Dr. Manar Atoum, Associated professor/ Hashemite University, Department of Medical Laboratory Sciences, Zarqa, Jordan, 2013. Note: Not published