Provider Relations Staff
7 days ago
Provider Relations Staff
Qualifications:
Male/ Female
Bachelor all major
Minimum 1-year experience as a Provider Relations in Insurance/ TPA company
Negotiation, presentation, and administration skills
Proficient in Ms. Office
Able to speak English
Able to work under pressure and targets.
Familiar with the legal aspects of the cooperation agreement process
Communicative, initiative, active and responsive
Responsible, ability to work individually as well as with a team
Good interpersonal, communication, attitude and positive
Self-motivated
Service and solution orientation
Willing to travel (if needed)
**Responsibilities**:
Recruit, contract and maintain relationships with clinics, hospitals and ancillary care providers.
- Manage key provider relationships (including problem solving) to ensure a positive
collaboration with the company.
- Analysis of provider network for adequacy in addressing access requirements, as well as the
identification and recruitment of new providers to meet certain geographic or care needs.
- Work to ensure the quality of the provider network, as well as the quality of all products and
services offered by the company.
- Conduct provider orientations, provider education forums and site visits to ensure that
network providers are knowledgeable of Inova Care’s products, operating procedures and
services
Research and resolve misapplied claim payments or provider reimbursements
- Issue EOP (explanation of provider payments)
- Collaborate with medical statistics unit and other company departments as required
regarding the development and implementation of provider fee schedules.
- Ensure that company’s provider network recruitment and provider retention targets are
satisfied.
- Weekly and monthly reports regarding provider network development and management
activities.
- Support the company’s provider network goals and objectives regarding clinical pathways.
- Other tasks as assigned by the company related to support the company’s growth, goals and
objectives.
**Benefits**:
- Salary IDR5,700,000
- BPJS Ketenagakerjaan
- BPJS Kesehatan
- Religious Bonus
Pay: Rp5,000,000 - Rp5,700,000 per month
Ability to commute/relocate:
- Jakarta: Reliably commute or planning to relocate before starting work (required)
**Education**:
- SMA/SMU/SMK (preferred)
**Experience**:
- Customer Service: 1 year (preferred)
**Language**:
- English (preferred)
- Mandarin (preferred)
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