MSH INTERNATIONAL is a leading worldwide provider of Healthcare insurance solutions, a subsidiary of SIACI SAINT HONORE group with 5 regional head offices in Calgary, Paris, Dubai, Shanghai and Tunis and currently looking for:

Precertification Administrator – Doctor 

Responsibilities:

1- To Review pre-authorization and referral requests for medical appropriateness by using established clinical protocols to determine the medical necessity of the request.

2- To Handle medical queries received from both insured members and client companies..

3- To advise the  team on complicated pre-authorization cases falling outside the bounds of normal authorization protocol and guidelines.

4- To organize medical training sessions for operation administrators.

5- To foster an ongoing relationship with the world wide medical team; seeks input, opinion or advise from theses resources as appropriate.

 

Requirements: 

1- Degree of Doctor in Medicine  or pharmacy 

2- One-two years experience minimum in an ansurance company or TPA is preferred.

3- Proficiency in both French and English is mandatory.

4- Excellent computer skills including Excel, Word, and Internet use.

5- Prioritizing, time management and analytical skills, ability to actively listen, client service oriented.

If you are interested do not hesitate to send us your application NOW.