Medical Doctor

dnata is the largest travel management organisation in the Middle East, with over 50 years of experience in the industry.

Over the years, we have established successful partnerships with a range of first-class service providers, in order to offer you the best travel products in the world.

Our Services range from Retail, Business, and Airline General Sales Agent Services and Destination Management.The Pre-Approval Doctor- Medical Benefits will work within the Medical Benefits team and will be responsible for issuance of pre-approvals to medical providers for specific services mentioned in the contractual SOP.

The role holder will manage telephone and system approvals and be responsible for confirming cover based on member's eligibility, scheme terms and utilisation history.Minimum requirements : Applicants must be willing to work and relocate to Clark, Pampanga.Medical Degree from a recognized universityCurrent License to practice in the PhilippinesExperience working in a medical insurance field is preferred2 years post qualification experience, preferably in Emergency Room, General Practice or Family MedicineComputer literate, Proficiency in the MS Office Suite of Software.

Excel / Word / Power Point)Proficiency in written and spoken English.Key Responsibilities and AccountabilitiesAction pre-approval transactions from contracted medical providers in line with agreed operating procedures and service level agreementsUse medical training, knowledge and departmental guidelines to ensure accurate assessment of pre-approvalsEnsure consistent application and review of treatment plans to ensure cover in line with contracted pricingComplete system and written administration in line with audit requirements and ensure approvals are documented in correct detail to support smooth claims administration.Complete activities in line with service agreements while demonstrating ability to prioritise according to medical urgencyEnsure correct reference to policy of all communication whether verbal or in writingRespond to call centre phone queries / online chat function related to coverage queries and claims in line with published protocols.Key CompetenciesCustomer Service OrientationInitiative & Commitment to AchieveAttention to detail and QualityOrganising for ResultsEffective CommunicationTeam Work

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