Insurance Operation Pharmacist

3 days ago

المعادي, Egypt Chefaa Full time

Chefaa is a leading digital health platform in Egypt and the MENA region, providing customers with the convenience of ordering pharmaceutical and non-pharmaceutical products online and getting them delivered straight to their doorstep. Our mission is to improve accessibility to healthcare services, and we strive to make positive impacts on our clients' lives.

**Responsibilities**- Waffar orders and Insurance Order Processing: Receive and review insurance orders, verifying patient information, prescription details, and
- insurance coverage. Ensure accuracy and completeness of insurance documentation.
- Claims Approval: Facilitate the approval of insurance claims by accurately completing and submitting required documentation. Liaise
- with insurance companies to resolve any issues or discrepancies in claims processing.
- Fulfillment Coordination: Coordinate with pharmacy staff to fulfill prescriptions according to insurance guidelines and patient needs.
- Ensure medications are dispensed accurately and in compliance with regulatory requirements.
- Insurance Verification: Verify patient insurance coverage, co-payments, and prior authorization requirements.
- Documentation and Record-keeping: Maintain accurate records of insurance transactions, claims, and communications.
- Ensure compliance with privacy regulations and pharmacy standards for record-keeping and documentation.
- Customer Service: Provide excellent customer service, address inquiries, resolve issues, and assist with insurance-related concerns in a professional and timely manner.
- Policy Compliance: Ensure compliance with laws governing insurance billing, reimbursement, and patient confidentiality.
- Collaboration: Collaborate with pharmacy team members, including pharmacists, assistants, and support staff, to optimize workflow efficiency and quality of service.
- Participate in interdisciplinary meetings and initiatives to improve patient care outcomes.

**Requirements**:

- Bachelor's degree in Pharmacy is required. ( preferably 2023 grad )
- Proven work experience in insurance
- Knowledge of insurance processes and regulations.
- Strong communication and problem-solving skills.
- Attention to detail and accuracy.
- Ability to work effectively in a team-oriented environment.
- Excellent organizational and time management skills.

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