https://www.traditionrolex.com/37

Msh International recrutement – Doctor – Percertification Administrator (night shift) (Les Berges du Lac, Tunis, Tunisie)

Postes vacants:
3 postes ouverts
Type d'emploi désiré :
CDI
Experience :
1 à 3 ans
Niveau d'étude :
DESS, DEA, Master, Bac + 5, Grandes Ecoles
Rémunération proposée :
Plus 3000 DT
Langue :
Français, Anglais, Arabe
Genre :
Indifférent

Description de l'emploi

Main Responsibility:

• To Give advise on medical requests from all departments and clients.

General Responsibilities:• Review pre-authorization and referral requests for medical appropriateness by using established clinical protocols to determine the medical necessity of the request.• Handle medical queries received from members and client companies and provide medical opinion accordignly to     other departments.• Regularly check the medical requests received via Intraqual.• Advise the  team on complicated pre-authorization cases falling outside the bounds of normal authorization protocol and guidelines.• Organize medical training sessions for operation administrators.• Dispatch and sign off claims having an amount exceeding 10.000,00.• Foster an ongoing relationship with the world wide medical team; seeks input, opinion or advise from theses resources as appropriate.

Exigences de l'emploi

1-  Degree of Doctor of Medecine 

2- TWO – THREE years experience minimum as a precertification administrator is preferred.

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

4- Management and analytical skills5- Flexibility to work at night shifts, weekends and public holidays. 

Date d'expiration

26/11/2020

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