Associate Medical Services At Orange Egypt | pharmacy or medicine Vacancy| 0-1 years of Experience
Apply before : 31 Jul 2021
Smart village orange egypt - Egypt
About the role
Supervise the preparation of the weekly medical claim batch done by the medical insurance company.
Ensure accurate and complete supporting documents are received for each claim according to the terms and conditions of the medical contract.
Receive the processed batch to be audited and revised prior to the distribution of the reimbursed amounts to the employees’ accounts by the Finance Department.
Negotiate about the rejected and/or suspended claims in order to reach a final decision according to the contract’s terms and conditions, then monitor the reimbursement cycle for such claims.
Build up a new insurance active list each year during the enrollment phase before the start of the insurance year.
Maintain regular update with new additions and deletions which will reflect on cards issuance for beneficiaries and quarterly payment settlements with the medical insurance provider.
Review and verify invoices received from external service providers followed by payments according to the contracts’ terms and conditions.
Audit and analyze the claim run provided by the insurance company each year and prepare the needed reports and statistics under supervision of the Head of Medical & Insurance Services.
Support with the annual audits.
Supervise the pre-employment check-up process by sending the data of the new candidates to the medical provider and following up the check-up cycle.
Receive and file the check-up results.
Handle and solve all types of issues related to all insurance services and communicate with all employees professionally and clearly.
Handle all memos, administrative operations, contract circulation for approvals and documents archiving.
Ensure proper and accurate filing for all received and/or processed documents both hard & soft copies.
Prepare periodical reports and statistics related to tasks and managed functions according to business needs (Dashboard, Sick leave, etc...).
Support the company doctor with the sick leaves process.
Support the medical team in any crisis-related activities.
Faculty of Medicine or Pharmacy graduate.
Minimum 0-1 year experience in an administrative function.
Very good English both spoken and written.
Very good computer skills.
Strong administrative, coordination and follow-up skills.
4. Very good negotiation and presentation skills.
Human Resources & Caproate Support
Assist the Medical & Insurance services department in all administrative and coordination tasks.