Service Providers: Practice Consultant
2 weeks ago
A Medical Aid in Pretoria is seeking a Service Provider Practice Consultant to join their Service Providers, Contracting and Research Department.
**Duties**:
- Proactively manage short paid and overcharged claims.
- Increasing referrals to top-ranked Specialists.
- Compiling, sharing and regularly updating Q&A documents and arranging Q&A sessions for staff from all relevant Departments, at least once 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.
- Quality Assurance on Network Agreements
- Focus on first call resolution
**Requirements**:
- Grade 12
- Medical or Business related Degree
- A minimum 3 years experience within a Health related or Medical Scheme environment
- A minimum 3 years experience in Client Service or as a Medical Representative, where you have interacted with Specialists, within the Healthcare or Medical Aid industry
**Job Types**: Full-time, Permanent
Pay: R1,00 - R2,00 per month
Application Question(s):
- Please list the Specialists you have dealt with in the Medical industry?
- What is your monthly salary expectation? (Before deductions)
**Education**:
- Bachelors (required)
**Experience**:
- dealing with Specialists within the Medical industry: 3 years (required)
- Medical Rep or Customer Service: 3 years (required)
Willingness to travel:
- 50% (required)
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