Ahmed Sameh Email & Phone Number

Cairo, Cairo Governorate, Eg

New Cairo, Cairo, Egypt

Re-submission and Pending:- Deduction analysis.- Annual settlement.- Provider awareness for repeated deductions / pending invoices.- Provider communication to fulfil missed documents for pending batches.Network provider addition:- Support in periodic review of the medical networks distribution based on data analysis.- Support in responding to clients' requests.- Support in addition of new providers' proposals according to data analysis and market trends.- Support in negotiation of the provider on the price list and proposed discounts.- Prepare provider agreement.- Ensure maintenance of information/records of all contracts handled by the department.Network provider deletion:- Support in investigation about the reasons for deletion of a provider.- Communicate with the provider.- Notification of the deleted providers internally and to PIC.- Sent a notification to MCC with alternative.Driving innovation and communication:- Ensuring information related to the provider network is accessible to end-users through on-going methodologies like accurate updates of MedNext and network lists.- Utilising innovative modalities like Geo-mapping by provider location and speciality availability.- Supporting the development of apps (contingent on IT being ready with apps).Continuous improvement:- Identifying opportunities for continuous improvement of network development and management operations, systems, processes, and practices.- Considering international leading practices, improving business processes, reducing costs, and improving productivity.Pricing:- Supporting price renewal requests, analysing and profiling non-contracted services and new provider pricing.- Negotiating prices with providers for better rates.- Providing recommendations to the network manager or network assistant manager based on negotiations.- Supporting price building at MN+ (Network providers / Reimbursement) of the approved.

Cairo, Cairo, Egypt

- Checking and dispensing of medications for inpatients in all hospital units.- Using computerized system to dispense checked drugs and creating medication orders in order to be prepared at the central pharmacy work station. (Daily)- Presence of IP pharmacists inwards and ICUs that have pharmacy office for performing medication inspection in order to ensure safe medication use and correct delivery of medications to patients through the nursing team. (Daily)- Dispensing newly added medications and admissions. (Daily)- Dispensing of Narcotics for all hospital units.- Return of medication not administered by patients upon their discharge.

Cairo, Egypt

Data Building- Verifying the contracts received from the Network Department.- Building and maintaining of the provider data on MN+, including provider main details, billing details.Price Building - Receive & evaluate of all the price building request from the Network Team, including New Provider Building, Price Renewals & Service Addition.- Archive of all the received contracts, and document it as a soft copy on the shared folder.- Build & Map the procedures by class & group and upload it to MN+.- Applying of the agreed prices & discounts and to upload it on MN+ through Fee Schedule, Rate Methodology & Generic Contract.Price Alteration- Evaluate of all received price updates requests and their related documentation according to standardized MNE agreement & compare it with the market norm & the applied prices.- Advice the Network Team by providing a clear overview about the workload and expected impact in MNE bottom line in relation to the claims cost- Negotiate prices in terms of contracting and re-contracting process with health care providers within the established corporate guidelines to ensure that all services are provided cost efficiently according to defined quality standards.CPT Mapping & Coding- Coding of the new procedures with the universal CPT Code & Description.- Mapping of the current procedures with the unified CPT Codes on MN+Digitalization- Registration & Awareness sessions for the Online Users.- Field visits & Training on online system.

Cairo, Egypt

- Review and execute physician’s prescriptions, checking their appropriateness and legality.- Preparation of medicines with clarification of the way and the number of times taken up and explain the doctor's orders.- Respond to patient counseling.- Organize Medicine in an efficient manner to make the identification of products easier and faster.- Maintain full control over delivering, stocking and labeling and other products and monitor their condition to prevent expiring or deterioration.- Maintains safe and clean working environment by complying with procedures, rules, and regulations.

Cairo, Egypt

Outpatient Pharmacist- Fulfill medication orders and refill prescriptions for new and returning patients who visit the hospital.- Consultations to medical professionals to better assist patients with drug therapy.- Instruct patients on how to dispense and take their medications properly.- Refill recurring prescriptions.- Reviewing patient medical histories to prevent drug interactions or problematic symptoms from occurring.