Lowongan Kerja Jakarta Selatan Posisi Medical Doctor di PT. PRIMA SARANA JASA

Info Loker

WHAT YOU’LL BE DOING

• Attend transmission and attend Case Quality Review in Operation Excellence every working day and duty day and give case directly to the best of his/her knowledge
• Assist daily activity in Operation Excellence Department in obtaining sufficient medical reports from the medical providers to move the case forward.
• Assist daily activity in Operation Excellence Department to ensure reviewing medical reports from the medical providers are done in a timely manner to full fill the Turn Around Time (TAT)
• Assist daily activity in Operation Excellence Department in providing recommended medical providers for the clients.
• Assist daily activity in Operation Excellence Department to negotiate with the medical provider for the best pricing, corporate price, or discount and to review the hospital billings whenever is required
• Manage and supervise Medical Claim Excellence staff in managing the case properly and in the line with the standard operations policy and procedure.
• Have a good relationship with the medical providers and ensure that the medical providers will provide the best quality of healthcare rendered by our clients.
• Conduct billing audits of all received invoices prior to any payment in order to get the best review of medical claims.
• Ensure all information related to the case activities is well documented in the system.
• Ensure that all close cases/claims have the ICD-10 verified in the system.
• Handle any complaints raised by clients or service providers towards Operation Excellence Department.
• Escalate to Medical Claim Excellence’s Assistant Manager if the complaint is serious and needs further follow-up to mitigate service recovery.
• Accountable to assist other departments and crisis management centers for a special task or mission.
• Maintain a good working environment, and develop good teamwork among colleagues and staff by maintaining good communication.
• Ensure that all procedure, policy, and company information is maintained to the latest date issued in accordance with the Quality Control and Continuous Improvement of Company policy.
• Establish a collaborative and cooperative relationship among the staff, to create a conducive working environment and conditions. To foster the motivation of the staff to work at optimal efficiency.

WHO WE ARE LOOKING FOR

• Preferably 1-3 years working experience as a Medical Doctor but Fresh Graduates are welcome to apply.
• Degree in Medicine.
• Having knowledge in Insurance, especially Health.
• Possess a service-centred mindset.
• Strong written and spoken English and Bahasa Indonesia

Lamar kerja

Deskripsi Perusahaan

Info Perusahaan

• Industri: Konsultasi (Bisnis & Manajemen)
• Ukuran Perusahaan: 51 - 200 pekerja
• Waktu Proses Lamaran: 28 hari
• Tunjangan dan Lain-lain: Asuransi Gigi, Tip, Asuransi kesehatan, Waktu regular, Senin - Jumat, Bisnis (contoh: Kemeja), THR, Bonus Performance, BPJS Kesehatan, Pensiun, Ketenagakerjaan