Provider Network, Executive (Medical Healthcare Service)

Provider Network, Executive

Job responsibilities:

• Follow-up and Audit Panel clinics based on FWA and compliance standard by, such as, but not limited to, updated decal display, QR codes, program based instructions, etc.
• Conduct onsite problem solving for complicated case escalations from clients. i.e. error in cash collection/claims submission to which clinics are paralysed and require on site assistance to respond back to client.
• Engage Panel clinics for onsite training on portal and recruitment matters.
• Recruit clinics onto new programs and align them on new program setup
• Manage clinics' escalation
• Maintain clinics listings for clients/insurers
• Align clinics on cost containment measures
• Engage clincs and to maintain healthy working relationships with clinics
• Align clinics on accessibility and service standards (decal presentations)
• Recontract Panel clinics which are on old contractual arrangements.

Job Requirements:

• Minimum Diploma holder in in any field
• At least 3 Year(s) of working experience in medical or related field is required for this position
• CGI and Health Insurance Certification or equivalent
• Proficient in basic computer applications e.g. Microsoft Office
• Willing to learn new skills/ knowledge
• Self-motivated individual with strong sense of responsibility
• Resourceful with strong problem-solving skill and excellent communication skills
• Proficient in spoken and written English
• Good team player and service oriented