medical authorization officer
Neuron LLC
مجموع سنوات الخبرة :10 years, 10 أشهر
● Answer calls and query from hospitals and patients using exemplary customer service skills.
● Verify eligibility within the database system to members and providers.
● Process pre- authorization approvals to hospital and clinics for in- patient, out- patient, opticals, dental and pharmacy.
● Works using Microsoft office, Pulse and Altitude.
● Review structured clinical data matching it against specified medical terms and diagnosis or procedure codes and follow the established procedures for giving authorizing request or referring request for further review.
● Provide assessment using the International Classification of Diseases (ICD 9 and ICD 10) and current Procedural Terminology codes.
● Code aech diagnosis of services and procedures according to standard.
● Establish effective rapport with other employees, professional support service staff, customers, clients, patient and physicians.
● Supports the department and corporate strategic plans and ensure successful implementation.
● Conducts daily rounds with the attending physician.
● Assists the doctor with several procedures and treatments.
● Assesses patients and referred abnormalities or problems to the attending physician.
● Administers medications as needed and complete patient’s record.
● Conducts health teachings to both the patient and her relatives.
● Creates home plans for discharged patients.
● Recorded medical supply of the ward and placed orders
● Coordinated with other health care professionals and optimized health outcomes
● Fulfilled a role of charge nurse.
● Responsible in marketing engineering supply
● Visit potential customers for new business
● Manages existing account, obtains orders, and establishes new account.
● Provides customers with quotations.
● Responsible in promoting company’s product to mechanic. Engineers and buyer
● Submit orders by referring to price lists and product literature.
● Negotiate the terms of an agreement and close sales
● Prepares reports by collecting, analyzing, and summarizing information.
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