Service Providers
6 months ago
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 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.
- Support Manager and other Team Leaders in Tasks and initiatives beneficial to the Scheme and Managed Health Care & Service Providers.
**Requirements**:
- Grade 12
- 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 517,82 - 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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