Provider Administrator

October 17, 2024

Health Solutions

Cape Town

OTHER

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.