Service Providers

2 weeks ago


Pretoria, Gauteng, South Africa Medpharm Recruitment Full time
A reputable Medical Aid is seeking an experienced Consultant to join their Service Providers, Contracting and Research Department.

Job Purpose:

To provide optimal support to the Healthcare Providers on the network, expand the network and to promote the Scheme.

Duties:

  • Proactive Management for short paid claims and Overcharged Claims.
  • Increase referrals to topranked specialists.
  • Compile, share and regularly update Q & A documents and arrange Q & A sessions for staff from all relevant departments at least quarterly.
  • Specialists Contracting and Research Management.
  • Support Manager and other Team Leaders in Tasks and initiatives beneficial to the Scheme and Managed Health Care & Service Providers.

Requirements:

  • Grade 1
  • Medical or Business related Degree
  • Minimum 3 years in Health related/Medical Scheme environment.
  • Minimum 3 years experience in Client Service/ Medical Representative/ interaction with Specialists.

Job Types:
Full-time, Permanent

Salary:
R10 517,8- R20 586,77 per month

Education:

  • Bachelors (required)

Experience:

  • Client Services or
Provider Networks: 2 years (required)

  • Interacting with Specialists: 2 years (required)
  • Medical Aid environment: 2 years (required)


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