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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