Network Service Providers

7 months ago


Pretoria, South Africa Medpharm Recruitment Full time

**Duties**:

- Proactive Management for short paid claims and overcharged claims
- Increase referrals to top-ranked 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
- Supporting Management and other Team Leaders in tasks and initiatives beneficial to the Scheme, Managed Health Care & Service Providers
- Focusing on first call resolution

**Requirements**:

- Grade 12 / Matric
- Medical (Nursing) or Business-related Degree
- Minimum 3 years’ experience in a Medical Aid Scheme environment
- Ability to travel to the Western Cape, as and when required by Management.

**Job Types**: Full-time, Permanent

Pay: R1,00 - R2,00 per month

Application Question(s):

- Are you willing to travel to Cape Town, as and when required by Management?
- What is your monthly salary expectation? (Before deductions)

**Education**:

- Diploma (required)

**Experience**:

- Medical Aid Scheme: 3 years (required)
- dealing with medical Specialists: 3 years (required)



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