Asral Halipa Email & Phone Number

A dedicated medical officer working in Pre-authorization (Operation ), result-oriented person with an impressive track record of excellence services or quality medical adjudication for a period of nine years.

Listed skills include Disease Management, Treatment, Quality Improvement, Health Insurance, and 13 others.

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  Medical Officer - Pre Authorization

  Bupa Arabia

  2005 - Present - Jeddah, Ksa

  1. Pre-authorisation of medically eligible treatment according to policies and contracts while abiding by KPI requirements and Medical guidelines2. Ensure consistency within BUPA in the approval, full/part time denial of treatment, making thorough and robust decisions within the context of defined policy.3. Constant strive to achieve individually and as a team the set targets required by management such as KPI and Customer satisfaction level.4. Make sure that the daily performance ( quality and quantity ) is within the accepted targets set by team leader.5. While mainly dealing with out- patients requests, the MO is required to deal with in-patients, dental and optical requests whenever there is a need. 6. Sufficient clinical and practical experience to recognise a wide variety of clinical investigations and laboratory tests, many of which are very specific with regard to whether they are appropriate and to recognise where they have been duplicated. In addition, he must be able to interpret (to a basic level) the results of test results submitted in order to assess the appropriateness of the treatment prescribed. In certain situations, the laboratory results also affect the ICD10 code.7. Knowledge on pharmacological to judge which medications are not only appropriate, but also have not been functionally duplicated by other medications prescribed at the same time.

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  Ateneo De Zamboanga University

  Bachelor Of Science In Nursing