Approval Doctor

7 days ago

Qesm El Maadi Cairo, Egypt AXON Healthtech Full time 60,000 - 120,000 per year


Job Title:
Approval Doctor


Department:
Approvals


Location:
Maadi ,Cairo, Egypt


Shift Type:
Rotational shifts, rotational days off, including overnight shifts


Company:
AXON HealthTech

Job Summary:

The Medical Approval Doctor is responsible for reviewing and evaluating medical treatment requests, ensuring compliance with medical guidelines and insurance policy terms. The role involves making clinical decisions related to pre-authorizations, inpatient and outpatient approvals, and providing medical expertise in claims processing.

Key Responsibilities:

  • Evaluate and approve or reject pre-authorization requests based on medical necessity and policy coverage.
  • Review inpatient and outpatient treatment requests in coordination with hospitals and healthcare providers.
  • Communicate with physicians, hospitals, and insured members to clarify clinical cases and ensure appropriate care.
  • Ensure decisions are compliant with company policies, local health regulations, and international medical guidelines.
  • Provide medical support to the claims department for adjudication of complex medical claims.
  • Keep up to date with new medical treatments, protocols, and policy changes.
  • Contribute to the development and updating of internal medical protocols and guidelines.
  • Maintain detailed documentation and records of medical decisions and approvals.

Qualifications:

  • Bachelor's degree in Pharmacy (BPharm) or MBBCh or a related medical field.
  • Strong knowledge of medical terminology, insurance policies, and healthcare regulations.

Skills Required:

  • Excellent clinical judgment and decision-making skills.
  • Strong communication and interpersonal skills.
  • Ability to work under pressure and meet deadlines.
  • Proficiency in using medical and insurance software systems.
  • Attention to detail and strong analytical skills.

What We Offer

  • Opportunity to shape the future of digital healthcare in Egypt and beyond.
  • Dynamic startup environment with room for career growth.
  • Competitive salary with performance-based incentives.
  • Access to AXON's wellness & medical benefits.
  • Being part of a mission-driven team revolutionizing healthcare accessibility and affordability.

  • Medical Approval Doctor

    5 days ago

    Qesm El Maadi, Cairo, Egypt AXON Healthtech Full time

    Job Title:Medical Approval DoctorDepartment:ApprovalLocation:Maadi,Cairo, Egypt Shift Type:Rotational shifts, rotational days off, including overnight shiftsCompany:AXON HealthTechJob Summary:The Medical Approval Doctor is responsible for reviewing and evaluating medical treatment requests, ensuring compliance with medical guidelines and insurance policy...

  • Approval doctor

    7 days ago

    Qesm El Maadi, Cairo, Egypt MedNet Global Healthcare Solutions LLC Full time 2,400 - 12,000 per year

    Company DescriptionMedNet Global Healthcare Solutions LLC is a leading managed care service provider with over two decades of experience in health risk management. The company offers tailored solutions to address long-term healthcare needs and financial protection against unforeseen medical expenses. MedNet is dedicated to improving healthcare outcomes while...

  • Medical approval doctor

    22 hours ago

    Cairo, Cairo, Egypt Egycare Healthcare Full time

    WE ARE HIRINGJob Description:A Medical Approvals Doctor responsible for reviewing and responding to medical requests and inquiries from insured members and healthcare service providers in accordance with established standards and procedures.Qualifications:• Bachelor's degree in Medicine & Surgery (M.B.B.Ch)• 0–1 year of experience• Fresh graduates...

  • Part Time Medical Representative

    1 week ago

    Cairo, Egypt Acino Full time

    Acino is a Swiss pharmaceutical company, leader in advanced drug delivery technologies. We have a clear focus on selected emerging markets in the Middle East, Africa, the CIS Region and Latin America, and operate in some of the most dynamic countries of the world. We value courage, commitment, trust and empathy and provide an environment that supports...

  • Medical Representative

    2 weeks ago

    Cairo, Egypt Acino Full time

    Acino is a Swiss pharmaceutical company, leader in advanced drug delivery technologies. We have a clear focus on selected emerging markets in the Middle East, Africa, the CIS Region and Latin America, and operate in some of the most dynamic countries of the world. We value courage, commitment, trust and empathy and provide an environment that supports...

  • Part Time Medical Representative

    2 weeks ago

    Cairo, Egypt Acino Full time

    Acino is a Swiss pharmaceutical company, leader in advanced drug delivery technologies. We have a clear focus on selected emerging markets in the Middle East, Africa, the CIS Region and Latin America, and operate in some of the most dynamic countries of the world. We value courage, commitment, trust and empathy and provide an environment that supports...

  • Medical Representative- Beheira I,iii

    6 days ago

    Cairo, Egypt Acino Full time

    Acino is part of Arcera, a global life sciences company headquartered in Abu Dhabi, United Arab Emirates. Our purpose is to enable longer and healthier lives while creating sustainable growth. We develop, manufacture, and commercialize a broad range of high-quality innovative and proven medicines in key international markets. With an operational footprint...

  • Medical Representative- Damietta

    6 days ago

    Cairo, Egypt Acino Full time

    Acino is a Swiss pharmaceutical company, leader in advanced drug delivery technologies. We have a clear focus on selected emerging markets in the Middle East, Africa, the CIS Region and Latin America, and operate in some of the most dynamic countries of the world. We value courage, commitment, trust and empathy and provide an environment that supports...

  • HR Total Reward Associate

    2 days ago

    Cairo, Egypt PepsiCo Full time

    **Auto req ID**: 268389BR **Medical Administration** - Work on the medical database sent by the direct medical supervisor and update it on a daily basis - Conduct Medical onboarding for the hires and Administer Medical card issuance process for new employees and any additions in all locations - Coordinate and administer end to end medical approvals cycle...

  • Personal Trainer

    3 days ago

    New Cairo, Cairo, Egypt Alpha Fit EMS Full time $1,640,000 - $3,420,000 per year

    Company DescriptionAlpha Fit is a fitness center specializing in Electrical Muscle Stimulation (EMS) training, offering innovative and tailor-made fitness plans to help individuals achieve their unique health and wellness goals. With highly skilled certified coaches, advanced FDA-approved wireless technology, and access to a certified nutrition doctor, Alpha...