Serena Al Lama

• Consistently address and resolve requests and inquiries from medical providers, ensuring prompt and
effective communication.

• Identify and regularly update system core data including, ICD-10, HCPCS, ATC codes and drugs in accordance with international classifications or approved references.
• Mapping data between hakeem program and Medexa Software.

• Review pre-approval requests from healthcare providers to determine if the requested services are medically necessary. This may require consulting with healthcare professionals, referencing medical literature, and considering evidence-based guidelines.
• Assess pre-approval requests to ensure they are within the scope of coverage outlined in the insurance policy, then making informed decisions on whether to approve or deny after medical evaluation.

• Implemented successful interventions with physicians to adjust doses of medications -primarily antibiotics
based on patients electronic health records (CPRS) which include comprehensive patient information and
medical history.
• Optimized medication safety by monitoring and evaluating patients therapy regimens for contraindications,
DDIs, and allergies.
• Provided professional patient counseling during the dispensing of prescriptions, ensuring optimal
understanding and compliance with medication regimens.
• Improved patient compliance and clinical outcomes by converting IV medications to more sustainable oral routes.
• Provided accurate, adequate, and timely drug information to the professional staff.
• Issued controlled substances to patients and nursing staff and maintained records as required by law.
• Accurately calculated TPNs & PPNs without errors.
• Ensured the implementation of Jordan MOH clinical policies, tools, guidelines.

• Built good knowledge base about commonly used drugs and controlled drugs in Jordan.
• Assisted in patient counseling regarding medication dosage/regimen, drug interactions, side effects, and
the correct use of medical devices.