General Practitioner

Job Description

JOB SUMMARY

Asakami Medical Office Practice is seeking a motivated, compassionate, and detail-oriented General Practitioner (MD) to join its team. The successful candidate will play a dual role, combining clinical responsibilities with medical insurance administration. The position involves providing quality primary healthcare services while supporting medical insurance operations, including claims review, pre-authorization, medical documentation, and coordination with insurance providers and healthcare institutions. This is an excellent opportunity for a newly qualified medical doctor or an early-career professional interested in developing expertise at the intersection of clinical practice and medical insurance operations.

KEY RESPONSIBILITIES

Clinical Services

• Conduct patient consultations, medical assessments, and physical examinations to establish initial diagnoses.
• Prescribe appropriate medications and recommend necessary laboratory and diagnostic investigations.
• Interpret laboratory and diagnostic results and provide appropriate clinical guidance.
• Refer patients to specialist consultants when necessary and coordinate follow-up care.
• Ensure patient care is delivered professionally, ethically, and in accordance with applicable clinical standards.

Medical Insurance Operations

• Review and process medical insurance claims, pre-authorization requests, and supporting medical documentation.
• Assess and document medical necessity in accordance with clinical standards and applicable insurance policies.
• Liaise with insurance companies and third-party administrators (TPAs) to facilitate patient coverage and resolve claims-related queries.
• Support medical coding, billing clarification, and insurance documentation processes.
• Coordinate insurance approvals and documentation for specialist referrals and diagnostic procedures.

Medical Records and Documentation

• Maintain accurate, comprehensive, and up-to-date Electronic Medical Records (EMR).
• Ensure clinical records and insurance documentation meet applicable professional, regulatory, and administrative requirements.
• Maintain confidentiality and safeguard patient medical information.
• Support continuous improvement in clinical documentation and medical insurance workflows.

EDUCATIONAL QUALIFICATION

• Doctor of Medicine (MD) degree from a recognized university.
• Must possess a valid and active professional practicing license issued by the Ethiopian Ministry of Health (MoH).

EXPERIENCE

• Fresh graduate to one year of post-internship professional experience.

ADDITIONAL COMPETENCIES

• An interest in or basic understanding of medical insurance operations, claims management, medical coding, or healthcare administration will be an advantage.
• Strong clinical assessment, analytical, and problem-solving skills.
• Excellent communication, interpersonal, and patient-care skills.
• Strong attention to detail and ability to maintain accurate medical documentation.
• Ability to work effectively both independently and as part of a multidisciplinary team.
• Fluency in both Amharic and English.