PANEL HOSPITAL NETWORK ADMINISTRATOR/ADMISSION / CLAIM /CALL CENTER (Night Shift)
PANEL HOSPITAL NETWORK ADMINISTRATOR (Manager)
RESPONSIBILITY:
* Recruiting hospital and Clinics as panel providers.
* Prepare document of appointment for panel providers.
* Assist in claims review management and review.
REQUIREMENT:
* Minimum Bachelor Degree or equivalent
* Effective negotiation skills
* Working experience in TPA organization at managerial level is essential.
* Working experience in Insurance Company’s Claims Department is an advantage.
* Able to speak and write in English.
ADMISSION (Manager and Executives)
RESPONSIBILITY:
* Primarily an in-house administrative function focusing on issuing ofGuarantee Letter to facilitate patient admission and processing of “cashless” medical insurance claims.
* Liaison with hospital admission department, insurance companies and policyholder.
* Ensure claims comply with Terms and Conditions of insurance policy.
* Ensure hospital charges are reasonable and customary.
REQUIREMENT:
* Bachelor Degree in Business Administration / Management / Social Science / Science / Chemistry / Engineering or other discipline
* Good listener with effective communication skills
* Working experience in TPA company in the areas Claims administration is essential.
* Working experience in Insurance Claims Department is an advantage.
* Able to speak and write in English.
CLAIM (Manager and Executive)
RESPONSIBILITY:
* Processing “pay and file” medical insurance claims
* Liaison with insurance companies and policyholders
* Ensure claims comply with terms and conditions of insurance policy
* Ensure claims are paid based on reasonable and customary charges.
REQUIREMENT:
* Bachelor Degree in Business Administration / Management / Social Science / Science / Chemistry / Engineering or other discipline
* Good listener with effective communication skills
* Working experience in TPA operations in the areas Claims administration is essential.
* Working experience in Insurance Claims Department is an advantage.
* Able to speak and write in English.
CALL CENTER (Executive Night Shift)
RESPONSIBILITY:
* Primarily to carry out night duty at the Call Centre handling customers’ inquiry, issuing guarantee letter to facilitate patient’s admission and discharge to and from hospitals.
* Liaison with hospital admission department, insurance companies and policyholders
REQUIREMENT:
* Bachelor Degree in Business Administration / Management / Social Science / Science / Chemistry / Engineering or other discipline
* Good listener with effective communication skills
* Preferably with relevant working experience in TPA operations.
* Able to speak and write in English.
Please send your CV (including photos, certificates and salary expectation) to following email address:
hrd.arlconsulting@gmail.com
This application is open until Saturday, 12 February 2011
