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Hesham Akram is listed as Senior Medical Claims Adjuster at Universal Health Insurance Authority - UHIA, based in Egypt. AeroLeads shows a matched LinkedIn profile for Hesham Akram.
Hesham Akram previously worked as Pharmacist at Ministry Of Health & Population - Egypt and Medical Approval Section Head at Smart Medical Services. Hesham Akram holds Good, Pharmacy, Pharmaceutical Sciences, And Administration, Very Good from Cairo University.
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Experienced Pharmacist with a demonstrated history of working in the Insurance industry. Skilled in Negotiation, Pharmaceutics, Microsoft Word, Sales, and Editing. Strong healthcare services professional with a Good focused in Pharmaceutical Sciences from Faculty Of Pharmacy Cairo University.
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New Cairo, Cairo, Egypt
- Applying and following up strategies which planned by higher managerial level.- Following the claims processing operation at project-applying branches starting from reception to billing according to the political regulations.- Participation in TPA staff training and monitoring.- Participation with Claims team at HQ for training newly launched governorates.
Giza Governorate, Egypt
Monitor the utilization of clients, minimize the loss rate Receiving all the requests, checking all the cases and its medical condition, and validate any procedures, treatments, and doses prescribed.Checking the eligibility of the cases regarding the contracts between Smart and the accounts as well as utilization of the patient.Respond to all requests by approval or rejection by phone, mail or fax.Make sure that all medical requests are handled according to the service level of agreement either through acceptance or rejection.Attend and reply e-mails/telephones inquiries for pre-approvals and justification for rejected or partially approved cases.Adhere to Smart mission statement, core values, and company policies and customer service standards
Duqqi, Giza Governorate, Egypt
Receiving all the requests, checking all the cases and its medical condition, and validate any procedures, treatments, and doses prescribed.Checking the eligibility of the cases regarding the contracts between Smart and the accounts as well as utilization of the patient.Respond to all requests by approval or rejection by phone, mail or fax.Make sure that all medical requests are handled according to the service level of agreement either through acceptance or rejection.Attend and reply e-mails/telephones inquiries for pre-approvals and justification for rejected or partially approved cases.Adhere to Smart mission statement, core values, and company policies and customer service standards
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Hesham Akram works for Universal Health Insurance Authority - UHIA.
Hesham Akram is listed as Senior Medical Claims Adjuster at Universal Health Insurance Authority - UHIA.
Hesham Akram is based in Egypt while working with Universal Health Insurance Authority - UHIA.
Hesham Akram has worked for Universal Health Insurance Authority - Uhia, Ministry Of Health & Population - Egypt, Smart Medical Services, Misr Pharmacies, and Unicare-Egypt.
You can use AeroLeads to view verified contact signals for Hesham Akram at Universal Health Insurance Authority - UHIA, including work email, phone, and LinkedIn data when available.
Hesham Akram holds Good, Pharmacy, Pharmaceutical Sciences, And Administration, Very Good from Cairo University.
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