Job Opportunities in South Africa
October 17, 2024
Health Solutions
Cape Town
OTHER
Provider Administrator
Introduction
Momentum Health Solutions, an entity of Momentum Metropolitan Holdings delivers sustainable, integrated health solutions that meet the needs of clients in the different segments and maximise lifetime client value. We build and maintain a culture of innovation, and create value through unique insights of how to achieve specific outcomes by using a defined set of Health capabilities.
Disclaimer
As an applicant, please verify the legitimacy of this job advert on our company career page.
Role Purpose
To provide an office based administrative support to external stakeholders and to the internal team in order to ensure an effective and efficient escalation process as well as corresponding system support queries.
Requirements
- Matric.
- At least 2 - 3 years’ experience, preferably in medical scheme industry.
- At least 2 - 3 years Client services or call centre experience.
- Proficient in MS Office (Excel, Word, Outlook).
Duties & Responsibilities
- Maintaining and updating of medical practice information
- Capturing and loading of provider and/or clinical data
- Administering the contracting of service providers on system
- Participate in Provider Engagement projects on an ad hoc basis
- Communicate verbally and in writing with medical practices in a professional manner
- Investigate and resolve claim queries
- Handle incoming telephonic and email queries from providers and third parties
- Educating and supporting the external healthcare providers in the business systems.
- Conduct telephonic surveys of service providers.
Competencies
- Business Acumen.
- Client/ Stakeholder Commitment.
- Drive for Results.
- Leads Change and Innovation.
- Motivating and Inspiring Team.
- Collaboration.
- Impact and Influence.
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