Service Providers Practice Consultant

1 week ago


Bellville, South Africa HRInsync Full time

**Company**

Top Medical Aid company in SA striving to be #1

**Purpose**

To provide optimal, "Personally Yours" support to the healthcare providers on the network, expand the network and promote the Scheme.

**Responsibilities**
- 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
- Focus on first call resolution.

**Requirements**:

- Minimum 3 years in health related/ medical scheme environment
- Minimum 3 years experience in client service/ medical representative/ interaction with Specialists.
- Medical or business-related degree

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

**Education**:

- Bachelors (required)

**Experience**:

- medical scheme - medical aid industry: 3 years (required)
- client services: 3 years (required)



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