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Serena Al Lama

@serenaallama

Pharmacist at Medexa reviewing medical approvals and evaluating clinical necessity and insurance coverage.

At Medexa, I review medical approval requests and respond to inquiries from medical providers. I previously assessed pre-approval requests for medical necessity and insurance coverage, and updated clinical classification data.

At King Hussein Cancer Center, I monitored medication regimens, assessed drug interactions and allergies, and worked with physicians on medication dose adjustments. I also counseled patients and supported medication safety in hospital pharmacy practice.

Experience

Work history, roles, and key accomplishments

Current

Medical Approval Officer

Current

Medexa

Mar 2024 - Present (2 years 7 months)

Consistently address and resolve requests and inquiries from medical providers, ensuring prompt and effective communication.

Medical Approvals Communication Skills Health Insurance

Research and Development Officer

Medexa

Dec 2023 - Mar 2024 (3 months)

Identified and updated system core data including ICD-10, HCPCs, ATC codes, and drugs in accordance with international classifications. Mapped data between Hakeem program and Medexa Software.

ICD 10 HCPCS ATC Data Mapping Hakeem Program Medexa Software

Pre-approval Medical Officer

Medexa

Jun 2023 - Nov 2023 (5 months)

Reviewed pre-approval requests from healthcare providers to determine medical necessity and coverage eligibility. Made informed decisions on approval or denial after medical evaluation.

Medical Necessity Assessment Insurance Coverage Evidence Based Guidelines Health Insurance

Pharmacist

King Hussein Cancer Center

Aug 2021 - May 2023 (1 year 9 months)

Implemented successful interventions with physicians to adjust medication doses based on electronic health records. Optimized medication safety by monitoring therapy regimens for contraindications, DDIs, and allergies.

Clinical Pharmacy Medication Therapy Management Electronic Health Records VistA CPRS IV To Oral Conversions TPN PPN Calculation Patient Counseling Controlled Substances Jordan MOH Policies

Intern

Community Pharmacies

Mar 2019 - Aug 2020 (1 year 5 months)

Built a good knowledge base about commonly used drugs and controlled drugs in Jordan. Assisted in patient counseling regarding medication dosage, drug interactions, side effects, and correct use of medical devices.

Pharmaceutical Knowledge Patient Counseling Therapeutic Regimens Drug interaction screening Medical Devices