Omega Care
Medications Claim Reviewer
Company: Omega Care For Medical services
Location: Maadi, Cairo, Egypt
Role Description:
• Auditing all network pharmacies claims.
• Deducting medications according to company rules and regulations.
• Monitoring and reporting pharmacies abuse and malpractice.
• Reporting approvals mistakes.
• Auditing onsite doctors’ prescriptions and reporting mistakes and malpractice.
• Auditing refund medications claims.
• Reconciliation with network pharmacies.
Qualifications:
• Bachelor degree of pharmacy is a must.
• Proven experience as Medication Reviewer Pharmacist for 3 years at least.
• Knowledge of medication dosing, administration, and interaction protocols
• Strong attention to detail, communication, and clinical problem-solving skills
• Excellent communication and interpersonal skills.