Vacancy Hospital

 VACANCY

We are an International company providing Third Party Medical Claims Administration Services (TPA Services) to insurance companies and corporate clients.

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 HR Recruitment:

hrd.arlconsulting@gmail.com

This application is open until Saturday, 12 February 2011

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