Danya Al-Jayousi
Pharmacist
Amman
Summary
A caring self-motivated individual with a passion for work and learning new things and experience and improving quality of work. An organized, effective communicator and an ability to remain calm even in stressful or unexpected circumstances. Confident team player, thriving on challenges and with a positive, cheerful attitude. Attention to detail with ability to handle multiple tasks and meet deadlines in a fast-paced environment. Adaptable, flexible, and willing to learn. Trustworthy, honest, reliable, and looking forward to being part of a team. High level values in medications, medical consumable operations and calculating the exact Dr fees for any procedure. Ability to manage supplier contracts, including pricing, terms, and conditions to achieve cost saving and operational efficiency. Proficient in MS office applications. Strong on negotiation, communication, and interpersonal skills. Detail-orientated adept at making critical decisions, managing deadlines and conducting team reviews. With expertise in analysis and quantitative problem-solving skills, dedicated to company growth and improvements.
Overview
8
8
years of professional experience
5
5
years of post-secondary education
9
9
Certifications
Work History
Medical Claims Audit Officer
International Medical Corps
7 2021 - Current
- Work on the audit and settlement of medical claims and processing and the work of the initial procedures and arrange according to the assets.
- Review insurance policies to cover coverage.
- Completion of the number of daily claims fully agreed upon in accordance with the policy of the Internal Service and directed by the direct officer.
- Review claims accurately to ensure that there is no missing or missing information of high quality according to agreed KPIs.
- Maintain and comply with claims delivery to service providers within the agreed period.
- Provide the medical network with a weekly and periodic assessment of feedback on information entered the system.
- Analyzed financial statements and records to verify accuracy and compliance with legislation and standards.
- Participated in special investigations to uncover fraud, waste, or abuse within the organization.
- Managed the assessment and processing of complex insurance claims to facilitate timely settlements.
Medical Claims Officer
GIG (Gulf Insurance Group)
04.2017 - 06.2021
Medical Claims Officer
Mednet Insurance
01.2017 - 03.2017
Responsible Pharmacist
Al-Samman Pharmacy
11.2015 - 8 2016
- Dispensed prescription medications accurately, adhering to legal and safety protocols to optimize patient health outcomes.
- Advised on medication storage and disposal, minimizing environmental impact and promoting safety.
- Educated patients about possible drug interactions and gave special administration instructions.
- Maintained appropriate drug records and completed reports as necessary.
Education
Bachelor (Pharmacy) -
Jordan University of Science And Technology
Irbid, Jordan 01.2010 - 05.2015
Skills
strong on negotiation, communication, and interpersonal skills
attention to detail with ability to handle multiple tasks and meet deadlines in a fast-paced environment
proficient in MS office applications
Documentation management
Written and oral communication
Organized
Reporting, planning and auditing
Accuracy
Data Analytics
Ethics and integrity
Certification
Writing Effective E-mails and Instant Messages
Personal Information
- Date of Birth: 08/02/92
- Nationality: Jordanian
- Marital Status: Married
References
Available upon request
Training
Al Samman Pharmacy, Irbid, Jordan:
- 1/6/2014 till 30/11/2015
Languages
Arabic
Native language
English
Advanced
C1
Timeline
Medical Claims Officer
GIG (Gulf Insurance Group)
04.2017 - 06.2021
Medical Claims Officer
Mednet Insurance
01.2017 - 03.2017
Responsible Pharmacist
Al-Samman Pharmacy
11.2015 - 8 2016
Bachelor (Pharmacy) -
Jordan University of Science And Technology
01.2010 - 05.2015
Medical Claims Audit Officer
International Medical Corps
7 2021 - Current