Network Administrator

6 days ago

Cape Town, South Africa mPower People Solutions Full time

**Primary Role**
Responsible for co-ordinating and maintaining administrative tasks for the Network Department team, network dental providers and all clients.

**Role Reporting**
Administration Team Leader

**Key responsibilities may include but are not limited to**:

- Maintains positive working relationship with all internal and external stakeholders, which includes service delivery of queries, complaints and written/telephonic correspondence
- Provides support to the Network Department by ensuring accurate and timely handling of cases within work basket streams
- Maintain provider network database and update member records on the system
- Conduct member surveys to confirm treatments and services in line with departments quality assurance
- Assist Provider Liaison Officers (PLO’s) when they are on the road
- Schedule bookings and process cancellations of dental provider visits for Provider liaison officers
- Participates in ad-hoc projects within prescribed timelines
- Conduct routine calls for member verification
- Provide value proposition service calls
- Follow up on outstanding information of service agreements from providers
- Assists with compliance checks and reporting
- Distribute communication via mail merge tool kit to dental providers and/or members
- Communicate network queries and/or service failures to providers
- Work closely with Contract Coordinator to lead large scale, cross-functional initiatives that are intended to optimise business processes
- Assist with recruitment of new network providers
- Investigate system related cases indexed to the network workbasket stream and resolve where applicable
- Receives all postal mail and distribute accordingly
- Upload all scans and files to the system
- Collate data for scheme reports and presentations
- Resolve and communicate all tariff and billing queries
- Draft correspondence letters for network providers related to terminations and notifications

**Critical Skills/ Competencies**
- Highly numerate
- Solutions driven
- Excellent Problem solving
- Strong analytical skills
- Meticulous attention to detail
- Good Telephone etiquette
- Self-starter, motivated, takes initiative and can work independently
- Excellent communicator with all levels in an organisation (verbal and written)
- Flexibility and agility
- Ability to operate in a team environment
- Sound organisational skills
- Ability to work with large volumes of data

**Experience**
- 1-2 years Administration experience
- Experience in managed health care environment & knowledge of relevant legislation is highly desirable

**Education and Applicable Systems**
- Grade 12
- Relevant Tertiary Qualification (Diploma or Degree)

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