Youssef Ahmed Elshaer

Pre-certification Officer | Pharmacist | Healthcare Professional

Professional portrait of Youssef Ahmed Elshaer

About Me

Dedicated Pre-certification Officer with expertise in medication management, insurance compliance, and patient care. Skilled in reviewing and approving prescribed medications to ensure alignment with insurance coverage. Proven track record in efficiently processing insurance claims and authorizations, enhancing operational efficiency, and delivering exceptional patient support.

Work Experience

Pre-certification Officer (OP Dr Approval)

Nextcare UAE / Allianz Partners | May 2024 - Present

  • Review and approve requests for medications and treatments based on insurance policies
  • Ensure compliance with healthcare regulations and provide feedback to healthcare providers
  • Process insurance claims and authorizations with speed and accuracy

Community Pharmacist

El Ezaby Pharmacies | December 2023 - March 2024

  • Dispensed prescription and over-the-counter medications accurately and efficiently
  • Consulted with patients on proper medication usage, addressing side effects and drug interactions
  • Processed insurance claims and provided patients with cost-effective alternatives for medications

Community Pharmacist and Branch Manager

El Bendary Pharmacies | January 2021 - July 2023

  • Managed medication dispensing and provided professional pharmaceutical care to patients
  • Handled over-the-counter cases with expertise, assisting patients in selecting appropriate products
  • Ensured compliance with health insurance policies while processing medication claims

Skills

Microsoft Office Suite Insurance Processing Effective Communication Problem Solving Patient Counseling OTC Case Handling Attention to Detail Work Under Pressure Overtime Working

Education & Certifications

Bachelor of Pharmacy

Tanta University | 2017 - 2022

Graduated with a very good grade

Certifications / Training

  • AzP - Email Storing & Harmon.ie
  • Allianz Confidentiality Training
  • AzP - Confidentiality at Allianz
  • Instant Messenger Training

Contact Me

The 3rd District, Cairo, EG