mah_international

MSH International is looking for

Precertification Administrator

Responsibilities:
1. Processing precertification requests for the assigned portfolio
2. Coordinating between administrators for approvals according to the specific policy terms.
3. Handling pre-approval from healthcare providers and clients.
4. Managing requests according to authority limits and report suspected fraud cases if there are.
5. Replying the insured members inquiries about procedures to be followed or status of their pre-certification file via telephone, fax, e-mail or intraqual workflow.
6. Ensuring the best customer service to providers, insured, coordinators, brokers.

Requirements:
1- Experience in the medical field is a must and previous experience in the insurance industry or TPA is preferred but not compulsory.
2- Degree of any Medical specialty.
3- Excellent communication skills in English and French.
4- Working knowledge of office automation tools and internet.
5- Strong organizational skills with strengths in prioritization and efficiencies.

Comment postuler :
Interested applicants are required to send their CVs to: ›
(Please mention the position applying for in the subject of the mail)

Ville : Tunis
Nom / Entreprise : MSH International
Email : ›
Tel / Fax : 31384617
Adresse : Zone Kheireddine Lac 3