Naglaa El-Doa

Claims Officer @ MedNet Egypt L.L.C

About

Clinical Pharmacy graduate, Experienced in medical claims assessment, patient support programs, and HR/event coordination. Proficient in medical auditing, pharmacovigilance, and insurance claims processes, with a focus on managing corporate client interactions and international cases.

Country

Egypt

City

Cairo

Industry

Insurance

Skill

Pharmacovigilance, Patient Education, Clinical pharmacist , Medical Approval , Healthcare, Human Resources (HR), Project Management, Leadership, Negotiation, Communication, Public Speaking, Time Management, Organization Skills, Crisis Management

Experience

Claims Officer

MedNet Egypt L.L.C

2024-8 - Present · 2 yrs 2 mos

Cairo, Egypt

- Processing of UAE providers’ claims efficiently and accurately. - Re-evaluate resubmitted claims. - Perform reconciliation of claims. - Use Medical coding system - Conduct Medical and technical audit and review of received claims and compare according to scope of coverage.

Medical Claims Assessment Executive

Medmark Egypt

2023-12 - 2024-7 · 8 mos

- Ensure accurate medical claims assessment for the Egyptian diplomats society (EDS) “Allianz members”. - Ensure medical claims are valid and settlements are made according to the insurance policy. - Act as liaison between the members and Allianz in case of in-patient claims outside Egypt. - Ensure all claims information remains confidential.

PSP Patient Tele-educator & Pharmacovigilance

Ray CRO

2023-7 - 2023-12 · 6 mos

Cairo, Egypt

Responsible for PSP of Keytruda ( immunotherapy product of MSD ) - Enhance patients’ knowledge about the treatment plan. - Perform pharmacovigilance activities and report any adverse events. - Handling patients’ medical records while insuring confidentiality of their health information. - Making phone calls to patients and arrange their regular infusion dates.